Provider Demographics
NPI:1285254086
Name:OPTIMAL FAMILY EYE CARE, PLLC
Entity type:Organization
Organization Name:OPTIMAL FAMILY EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAISY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KASTNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:314-322-4155
Mailing Address - Street 1:373 MIDSTREAM DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-3244
Mailing Address - Country:US
Mailing Address - Phone:314-322-4155
Mailing Address - Fax:
Practice Address - Street 1:1629 N TOWN EAST BLVD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4105
Practice Address - Country:US
Practice Address - Phone:972-686-6000
Practice Address - Fax:972-686-6111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty