Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SPECIALEYES OPTICAL, LLC
Active
Organization
SPECIALEYES OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA TAYLOR (CREDENTIALING COORDINATOR)
(817) 529-9949
Entity
Organization
Contact information
Practice address
2212 EMERY ST, DENTON, TX 76201-1100
(940) 312-5900
(940) 312-5901
Mailing address
321 S HENDERSON ST, FORT WORTH, TX 76104-1016
(817) 529-9929
(817) 529-9927
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
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
05
—
375326101
—
TX
Enumeration date
10/16/2018
Last updated
06/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up