Provider Demographics
NPI:1699931048
Name:L&L OPTICAL P.A.
Entity type:Organization
Organization Name:L&L OPTICAL P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAURIAC
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-556-2929
Mailing Address - Street 1:5910 N MACARTHUR BLVD
Mailing Address - Street 2:148
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-3835
Mailing Address - Country:US
Mailing Address - Phone:972-556-2929
Mailing Address - Fax:972-556-2057
Practice Address - Street 1:5910 N MACARTHUR BLVD
Practice Address - Street 2:148
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-3835
Practice Address - Country:US
Practice Address - Phone:972-556-2929
Practice Address - Fax:972-556-2057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5672T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty