Provider Demographics
NPI:1366614786
Name:BANK SALAND ASSOCIATES
Entity type:Organization
Organization Name:BANK SALAND ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:BANK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-691-8000
Mailing Address - Street 1:8210 WALNUT HILL LN
Mailing Address - Street 2:SUITE 812
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4405
Mailing Address - Country:US
Mailing Address - Phone:214-691-8000
Mailing Address - Fax:214-691-8003
Practice Address - Street 1:8210 WALNUT HILL LN
Practice Address - Street 2:SUITE 812
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4405
Practice Address - Country:US
Practice Address - Phone:214-691-8000
Practice Address - Fax:214-691-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3313TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty