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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