SPECIAL EYES OPTICAL, LLC (NPI# 1215462148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215462148 |
| Entity Type | Organization |
| Organization Name | SPECIAL EYES OPTICAL, LLC |
| Practice Address |
1509 W Hebron Pkwy Suite 300 Carrollton TX 75010-6336 |
| Mailing Address |
321 S Henderson St Fort Worth TX 76104-1016 |
| Practice Telephone | 2143907151 |
| Practice Fax Number | 2143907152 |
| Mailing Telephone | 8175299949 |
| Mailing Fax Number | 8175299943 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | DR. ERIV ALAN PACKWOOD (OWNER/PARTNER) |
| Authorized Official Telephone | 8175299949 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7210TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 166926901 | 05 | |
| TX | 145291402 | 05 | |
| TX | 323588905 | 05 | |
| TX | 294486001 | 05 | |
| TX | 018440004 | 05 | |
| TX | 287401803 | 05 | |
| TX | 207716601 | 05 |
| Street Address |
1509 W HEBRON PKWY SUITE 300 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-6336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1538729017 | Victoria Tran | Optometrist | 2810 E Trinity Mills Rd Ste 173, Carrollton, TX 75006-2351 | 2019-06-18 |
| 1033683545 | J&jkim Vision Associates, LLC | Optometrist | 2625 Old Denton Rd Ste 422, Carrollton, TX 75007-5140 | 2019-01-17 |
| 1548732852 | Dua Optical Management LLC | Optometrist | 2510 N Josey Ln Ste 100&104, Carrollton, TX 75006-1672 | 2018-12-27 |
| 1134623762 | Chelmin Yeu Od, Pllc | Optometrist | 1927 E Belt Line Rd Ste 166, Carrollton, TX 75006-5889 | 2018-03-20 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1851700991 | Minh Nhu Nguyen | Optometrist | 4112 N Josey Ln Ste 112, Carrollton, TX 75007-1516 | 2014-08-02 |
| 1972922482 | Icare Eyecare & Eyeware Pllc | Optometrist | 1809 Brookview Dr, Carrollton, TX 75007-1498 | 2014-04-11 |
| 1891058202 | Johnetta Denise Askew | Optometrist | 2630 N Josey Ln Ste 111, Carrollton, TX 75007-5541 | 2012-06-20 |
| 1336401611 | Jennifer Rose Poston | Optometrist | 1405 N Jefferson St, Carrollton, MO 64633-1945 | 2012-06-12 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on SPECIAL EYES OPTICAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.