Organization
PEDIATRIC EYE SPECIALISTS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA TAYLOR (CREDENTIALING COORDINATOR)
(817) 529-9949
Entity
Organization
Contact information
Practice address
321 S HENDERSON ST, FORT WORTH, TX 76104-1016
(817) 529-9949
(817) 529-9943
Mailing address
321 S HENDERSON ST, FORT WORTH, TX 76104-1016
(817) 529-9949
(817) 529-9943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L2508 L8376 L047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018440004
—
TX
05
—
145291402
—
TX
05
—
152778001
—
TX
05
—
166926901
—
TX
05
—
323588905
—
TX
Enumeration date
03/21/2007
Last updated
06/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us