Organization
DUNCANVILLE EYE ASSOCIATES, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY A. DOVER (BILLING & INSURANCE COORDINATOR)
(972) 298-7249
Entity
Organization
Contact information
Practice address
535 W WHEATLAND RD, DUNCANVILLE, TX 75116-4515
(972) 298-7249
(972) 298-6740
Mailing address
535 W WHEATLAND RD, DUNCANVILLE, TX 75116-4515
(972) 298-7249
(972) 298-6740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02097T
TX
152WC0802X
Corneal and Contact Management Optometrist
02097T
TX
152WP0200X
Pediatric Optometrist
02097T
TX
152WS0006X
Sports Vision Optometrist
02097T
TX
152WV0400X
Vision Therapy Optometrist
02097T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E52G
DUNCANVILLE EYE BCBS #
—
01
—
021948
BLOCKVISION MEDICAID LOC#
TX
05
—
176941601
—
TX
01
—
DEATLYWGD
SUPERIOR MEDICAID, MOLINA MEDICAID
TX
Enumeration date
12/17/2006
Last updated
02/27/2012
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