1902852346 NPI number — FRISCO EYE ASSOCIATES

Table of content: (NPI 1902852346)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902852346 NPI number — FRISCO EYE ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRISCO EYE ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902852346
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/25/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 208904
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75320-8904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-200-4393
Provider Business Mailing Address Fax Number:
636-527-0766

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7638 STONEBROOK PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75034-1003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-712-1010
Provider Business Practice Location Address Fax Number:
972-712-1011
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GIRA
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
PRAVOOT
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
636-200-4393

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1336131960 . This is a "BCBS-DR. JEFF THOMAS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1881686426 . This is a "COLY MARSH NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1336131960 . This is a "JEFF THOMAS NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1588611172 . This is a "BITA GARZA NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1902852346 . This is a "GROUP NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 00E41Y . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1487696811 . This is a "BCBS-DR. DANA BIEDERMAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1588611172 . This is a "BCBS-DR. BITA GARZA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1871828061 . This is a "AMBER PAULSEN NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 82954Q . This is a "BCBS - AMBER PAULSEN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1487696811 . This is a "DANA BIEDERMAN NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1881686426 . This is a "BCBS- DR. COLY MARSH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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