Organization
EBENEZER EYECARE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELINA MATHEW (OPTOMETRIST)
(214) 240-6747
Entity
Organization
Contact information
Practice address
601 W PLANO PKWY STE 141B, PLANO, TX 75075-8969
(972) 516-1400
(972) 516-8324
Mailing address
601 W PLANO PKWY STE 141B, PLANO, TX 75075-8969
(972) 516-1400
(972) 516-8324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7790TG
TX
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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