Organization
EYE HEALTH ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM LOUIS CHANDLER O.D. (PRESIDENT)
(817) 481-3231
Entity
Organization
Contact information
Practice address
338 S MAIN ST, GRAPEVINE, TX 76051-5319
(817) 481-2411
(817) 481-0203
Mailing address
338 S MAIN ST, GRAPEVINE, TX 76051-5319
(817) 481-2411
(817) 481-0203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1902TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902TG
STATE LICENSE
TX
01
—
80642Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/11/2007
Last updated
09/01/2009
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