Organization
JW EYE ASSOCIATES, PLLC
Active
Other names
Key Whitman Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
11442 N. CENTRAL EXPRESSWAY, DALLAS, TX 75243
(214) 754-0000
(214) 379-1849
Mailing address
11442 N. CENTRAL EXPRESSWAY, DALLAS, TX 75243
(214) 754-0000
(214) 379-1849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084127201
—
TX
Enumeration date
06/18/2006
Last updated
02/09/2024
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