Organization · NPI-2

Advanced Visioncare Of Fort Worth PA

Optometrist · Fort Worth, TX

NPI number1891096962
StatusActive
Last updated in NPPESNov 5, 2010

Details

NPI
1891096962
Entity type
Organization (NPI-2)
Legal business name
Advanced Visioncare Of Fort Worth PA
Organization subpart
No
Enumeration date
Nov 5, 2010
Last updated
Nov 5, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist4711TTXYes

Practice location

4919 S Hulen St
Fort Worth, TX 76132-1407

Phone 817-370-2100 · Fax 817-539-8035

Mailing address

4919 S Hulen St
Fort Worth, TX 76132-1407

Phone 817-370-2100 · Fax 817-539-8035

Authorized official

James Kevin Smith
Manager
8173702100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Fort Worth, TX