20-20 EXPRESS--DALLAS LLC (NPI# 1669873857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669873857 |
| Entity Type | Organization |
| Organization Name | 20-20 EXPRESS--DALLAS LLC |
| Practice Address |
4614 Sw Loop 820 Fort Worth TX 76109-4418 |
| Practice Telephone | 8177322706 |
| Practice Fax Number | 9722773176 |
| Mailing Telephone | 8177322706 |
| Mailing Fax Number | 9722773176 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | KAREN PITTMAN (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 9209971583 |
| Is Organization Subpart | Y |
| Parent Organization Name | 20-20 EXPRESS--DALLAS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209695 | 20-20 Express--dallas LLC | Eyewear Supplier (Equipment, not the service) | 2469 Preston Rd, Frisco, TX 75034-9430 | 2014-10-08 |
| 1093116873 | 20-20 Express--dallas LLC | Eyewear Supplier (Equipment, not the service) | 200 West Parker Rd., Plano, TX 75075 | 2014-09-11 |
| 1285035089 | 20-20 Express--dallas LLC | Eyewear Supplier (Equipment, not the service) | 3450 Bainbridge Drive, Ste 598, Dallas, TX 75237 | 2014-09-11 |
| 1821499005 | 20-20 Express--dallas LLC | Eyewear Supplier (Equipment, not the service) | 3601 S Cooper St, Ste 100, Arlington, TX 76015-3467 | 2014-09-08 |
| 1275934465 | 20-20 Express--dallas LLC | Eyewear Supplier (Equipment, not the service) | 5225 Belt Line Rd, Ste 222 & 230, Dallas, TX 75254-1462 | 2014-09-08 |
| 1225431919 | 20-20 Express--dallas LLC | Eyewear Supplier (Equipment, not the service) | 9100 N Central Expy, Suite 145, Dallas, TX 75231-5922 | 2014-10-08 |
| 1710380415 | 20-20 Express--dallas LLC | Eyewear Supplier (Equipment, not the service) | 1765 N Town East Blvd, Suite 112, Mesquite, TX 75150-4172 | 2014-10-08 |
| 1932502622 | 20-20 Express--dallas LLC | Eyewear Supplier (Equipment, not the service) | 2215 S Loop 288, Suite 306 & 308, Denton, TX 76205-4981 | 2014-10-08 |
| Street Address |
4614 SW LOOP 820 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003327982 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1653 River Run, Fort Worth, TX 76107 | 2017-10-18 |
| 1407398092 | Bill Dillard | Eyewear Supplier (Equipment, not the service) | 6900 South Fwy Ste A7, Fort Worth, TX 76134-3869 | 2016-11-14 |
| 1366804726 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2301 Porter Creek Dr Ste 217, Fort Worth, TX 76177-2336 | 2016-03-24 |
| 1477830941 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2530 Green Oaks Rd, Ste. K314, Fort Worth, TX 76116-1761 | 2011-11-10 |
| 1932423175 | New Columbian Optical Company | Eyewear Supplier (Equipment, not the service) | 4951 S Hulen St, Fort Worth, TX 76132-1407 | 2010-03-17 |
| 1902060056 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 9549 Sage Meadow Trl, Fort Worth, TX 76177-8595 | 2008-07-17 |
| 1669656799 | Patmick LLC | Eyewear Supplier (Equipment, not the service) | 2255 8th Ave, Fort Worth, TX 76110-1812 | 2007-12-26 |
| 1184824948 | Adair Visual Inc. | Eyewear Supplier (Equipment, not the service) | 4701 West Freeway, Suite 200, Fort Worth, TX 76107 | 2007-07-20 |
| 1063548089 | Kara C. Nguyen Od Pa | Eyewear Supplier (Equipment, not the service) | 2832 S Hulen St, Fort Worth, TX 76109-1514 | 2007-02-26 |
| 1437204997 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4800 S Hulen St Ste 2076, Fort Worth, TX 76132 | 2007-01-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on 20-20 EXPRESS--DALLAS 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.