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Organization
PHILLIPS VISION LLC
Active
Organization
PHILLIPS VISION LLC
Active
Other names
The Eye Guys, Texarkana Eye Association
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA K BAILEY (BILLING/CREDENTIALING MANAGER)
(903) 329-5051
Entity
Organization
Contact information
Practice address
4109 MOORES LN, TEXARKANA, TX 75503-2159
(903) 329-5051
(903) 329-5053
Mailing address
4109 MOORES LN, TEXARKANA, TX 75503-2159
(903) 329-5051
(903) 329-5053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5480T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01915611
TEXAS MEDICAID
TX
01
—
41046137
RAIL ROAD MEDICARE
TX
01
—
98441
ARKANSAS BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/15/2007
Last updated
01/15/2026
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