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Organization

ALJP VISION, PLLC

Active
Other names
Insight Eye Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JORDAN PIERCE O.D. (OPTOMETRIST/MANAGING MEMBER)
(817) 514-2114
Entity
Organization

Contact information

Practice address
5310 N TARRANT PKWY, STE 128, FORT WORTH, TX 76244-5386
(817) 514-2114
(817) 514-2150
Mailing address
5310 N TARRANT PKWY, STE 128, FORT WORTH, TX 76244-5386
(817) 514-2114
(817) 514-2150

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7417TG
TX
152WC0802X
Corneal and Contact Management Optometrist
7408TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213985901
TX
01
TXB102634
MEDICARE PART B PROVIDER
TX
Enumeration date
01/13/2010
Last updated
01/10/2011
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