Organization
COLLEYVILLE EYE CORPORATION
Active
Other names
Simply Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
FORTSMITH PHAM (DIRECTOR)
(817) 485-3300
Entity
Organization
Contact information
Practice address
5307 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-5832
(817) 485-3300
Mailing address
5307 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-5832
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
07/17/2019
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