Provider Demographics
NPI:1831707603
Name:LEWISVILLE EYE CARE, LLC
Entity type:Organization
Organization Name:LEWISVILLE EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BINDI
Authorized Official - Middle Name:ASHOK
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-529-6437
Mailing Address - Street 1:2816 N UMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5969
Mailing Address - Country:US
Mailing Address - Phone:214-529-6437
Mailing Address - Fax:
Practice Address - Street 1:190 E ROUND GROVE RD
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8301
Practice Address - Country:US
Practice Address - Phone:214-529-6437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty