Organization
DALLAS EYE CARE ASSOCIATES PLLC
Active
Organization
DALLAS EYE CARE ASSOCIATES PLLC
Active
Other names
Dallas Eye Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN ELLISON (CEO)
(720) 524-1001
Entity
Organization
Contact information
Practice address
505 N GUN BARREL LN, GUN BARREL CITY, TX 75156-3732
(817) 784-0222
(817) 417-0981
Mailing address
3900 E MEXICO AVE STE 102, DENVER, CO 80210-3941
(303) 800-2078
(303) 800-2078
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173901301
—
TX
01
—
CF8271
RAILROAD MEDICARE
TX
Enumeration date
03/16/2007
Last updated
04/20/2020
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