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Organization

SPECIAL EYES OPTICAL, LLC

Active
Find providers by NPI
Organization

SPECIAL EYES OPTICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIV ALAN PACKWOOD MD (OWNER/PARTNER)
(817) 529-9949
Entity
Organization

Contact information

Practice address
1509 W HEBRON PKWY, SUITE 300, CARROLLTON, TX 75010-6336
(214) 390-7151
(214) 390-7152
Mailing address
321 S HENDERSON ST, FORT WORTH, TX 76104-1016
(817) 529-9949
(817) 529-9943

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7210TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018440004
—
TX
05
—
145291402
—
TX
05
—
166926901
—
TX
05
—
207716601
—
TX
05
—
287401803
—
TX
05
—
294486001
—
TX
05
—
323588905
—
TX
Enumeration date
04/28/2017
Last updated
04/28/2017
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