MEDICARE: CITYPLACE EYECARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1083352546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITYPLACE EYECARE, PLLC

Provider Business Mailing Address
First Line	:	3618 FERN VALLEY CT
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-6271
Country	:	US
Telephone Number	:	713-614-7678
Fax Number	:

Provider Business Practice Location Address
First Line	:	2417 N HASKELL AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-3707
Country	:	US
Telephone Number	:	214-444-8823
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	TRANG NGUYEN
Credential	:
Telephone Number	:	713-614-7678

Provider Enumeration Date	:	05/24/2022
Last Update Date	:	05/27/2022

Similar Medicare Providers

1730101494 — CVS PHARMACY INC
Practice Location Address:

2417 N HASKELL AVE
DALLAS, TX
75204-3707

Practice Phone: 214-370-5558
Practice Fax:

1124313028 — MRS. MELANIE NICOLE RASA PHARM. D.
Practice Location Address:

2417 N HASKELL AVE , T-0875
DALLAS, TX
75204-3707

Practice Phone: 214-370-5558
Practice Fax:

1659667350 — MR. RICHARD GARRETT DENNIS RPH
Practice Location Address:

2403 N. HASKELL AVE
DALLAS, TX
75204-3707

Practice Phone: 214-370-5558
Practice Fax: 214-370-5558

1245645001 — JUSTIN VARGHESE
Practice Location Address:

2417 N HASKELL AVE
DALLAS, TX
75204-3707

Practice Phone: 214-370-5558
Practice Fax:

1427568542 — LUXOTTICA RETAIL NORTH AMERICA, INC
Practice Location Address:

2417 N HASKELL AVE
DALLAS, TX
75204-3707

Practice Phone: 972-656-4732
Practice Fax:

1942804018 — TOYIN S LAWAL RPH
Practice Location Address:

2417 N HASKELL AVE
DALLAS, TX
75204-3707

Practice Phone: 972-697-9810
Practice Fax:

Directions to “CITYPLACE EYECARE, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.