Med Southwest, PLLC
Optometrist in Fort Worth, TX. Organization (NPI-2).
NPI number1962048926
StatusActive
Last updated in NPPESMay 30, 2022
Details
- NPI
- 1962048926
- Entity type
- Organization (NPI-2)
- Legal business name
- Med Southwest, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2019
- Certification date
- May 30, 2022
- Last updated
- May 30, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Myeyedr. (Doing Business As)
Practice location
3000 S Hulen St Ste 104Fort Worth, TX 76109-1930
Phone 817-738-2027 · Fax 817-738-5440
Mailing address
8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442
Phone 703-847-8899 · Fax 571-223-6780
Authorized official
Sue Downes
Secretary
7038478899
Is something wrong?
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