Organization
EYECARE & EYEWEAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELBY ATKINS TRUSTY OD (OWNER)
(940) 891-3937
Entity
Organization
Contact information
Practice address
3111 UNICORN LAKE BLVD STE 100, DENTON, TX 76210-0118
(940) 891-3937
(940) 591-8368
Mailing address
3111 UNICORN LAKE BLVD STE 100, DENTON, TX 76210-0118
(940) 891-3937
(940) 591-8368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03995TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0178390001
MEDICARE - PALMETTO
TX
05
—
019328601
—
TX
01
—
3995TG
OD LICENSE
TX
Enumeration date
06/22/2006
Last updated
02/20/2018
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