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NPI Code Detail

MEDICARE: HASLET FAMILY EYECARE, PLLC

MEDICARE: HASLET FAMILY 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
1152W00000XOptometrist

General Provider Information

NPI Number : 1134921190
Entity Type Code : Organization
Provider Name (Legal Business Name) : HASLET FAMILY EYECARE, PLLC
Provider Business Mailing Address
First Line : 2432 AVONDALE HASLET RD STE 200
Second Line :
City : HASLET
State : TX
Zip : 76052-3428
Country : US
Telephone Number : 682-382-2020
Fax Number :
Provider Business Practice Location Address
First Line : 2432 AVONDALE HASLET RD STE 200
Second Line :
City : HASLET
State : TX
Zip : 76052-3428
Country : US
Telephone Number : 817-993-2020
Fax Number : 682-255-2200
Authorized Official
Title or Position : OWNER
Name : ANJONETTE COLVIN
Credential : OD
Telephone Number : 682-382-2020
Provider Enumeration Date : 03/27/2025
Last Update Date : 10/14/2025

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Directions to “HASLET FAMILY EYECARE, PLLC ” Practice Location

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