Organization · NPI-2

20/20 Icare And Iwear, PLLC

Optometrist · Grand Prairie, TX

NPI number1932629987

StatusActive

Last updated in NPPESJul 1, 2026

Details

NPI: 1932629987
Entity type: Organization (NPI-2)
Legal business name: 20/20 Icare And Iwear, PLLC
Organization subpart: No
Enumeration date: Jun 21, 2017
Certification date: Jul 1, 2026
Last updated: Jul 1, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	8143TG	TX	Yes
152WV0400X	Optometrist, Vision Therapy	–	–
152WC0802X	Optometrist, Corneal and Contact Management	–	–

Practice location

3510 S State Hwy 161
Suite 110
Grand Prairie, TX 75052

Phone 972-264-7200 · Fax 972-264-7220

Mailing address

1001 Rhone Ln
Southlake, TX 76092-1449

Phone 817-262-2145

Authorized official

Long DO
Managing Optometrist
8172622145

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