Organization
TRICON EYE CARE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEM LE VU MD (CEO)
(469) 467-8100
Entity
Organization
Contact information
Practice address
6300 STONEWOOD DR, 304, PLANO, TX 75024-5280
(469) 467-8100
(469) 467-4556
Mailing address
6300 STONEWOOD DR, 304, PLANO, TX 75024-5280
(469) 467-8100
(469) 467-4556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L7916
TX
207W00000X
Ophthalmology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3723044
AETNA PROVIDER NUMBER
TX
01
—
5552704
FIREST HEALTH PROVIDER #
TX
01
—
5801951
CIGNA PROVIDER NUMBER
TX
01
—
8R1300
BCBS PROVIDER NUMBER
TX
Enumeration date
06/26/2007
Last updated
09/06/2023
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