Organization
MEL FORNEY LLC
Active
Other names
My Eyelab Forney
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING MANAGER)
(561) 612-4531
Entity
Organization
Contact information
Practice address
485 MARKETPLACE BLVD STE 154, FORNEY, TX 75126-1809
(469) 837-7800
(561) 828-8367
Mailing address
1784 W MCDERMOTT DR STE 110, ALLEN, TX 75013-3395
(469) 837-7800
(561) 828-8367
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
02/17/2021
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