1659467306 NPI number — EYECARE ASSOCIATES OF TEXAS, PA

Table of content: DR. MURRAY ARTHUR SOLOMON M.D. (NPI 1255395760)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659467306 NPI number — EYECARE ASSOCIATES OF TEXAS, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EYECARE ASSOCIATES OF TEXAS, PA
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:
1659467306
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
634 UPTOWN BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CEDAR HILL
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75104-3507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-637-1300
Provider Business Mailing Address Fax Number:
866-353-7586

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
634 UPTOWN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CEDAR HILL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75104-3507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-637-1300
Provider Business Practice Location Address Fax Number:
866-353-7586
Provider Enumeration Date:
10/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LE
Authorized Official First Name:
TRANG
Authorized Official Middle Name:
DIEM
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
972-637-1300

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0016DQ . This is a "BCBS GROUP NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 205454601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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