Organization
BWB EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN B BANK OD (MBR)
(214) 773-9939
Entity
Organization
Contact information
Practice address
1512 8TH AVE STE 100, FORT WORTH, TX 76104-4150
(214) 773-9939
Mailing address
1512 8TH AVE STE 100, FORT WORTH, TX 76104-4150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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