Provider Demographics
NPI:1306503743
Name:DRISHTI EYE CARE PLLC
Entity type:Organization
Organization Name:DRISHTI EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST AND OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VASANTHA
Authorized Official - Middle Name:KUMARI
Authorized Official - Last Name:KANUKUNTLA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-465-0468
Mailing Address - Street 1:9001 FOX HOLLOW TRL
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-4490
Mailing Address - Country:US
Mailing Address - Phone:972-465-0468
Mailing Address - Fax:
Practice Address - Street 1:2130 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-8601
Practice Address - Country:US
Practice Address - Phone:972-465-0468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty