Healthcare Provider Details

I. General information

NPI: 1497631410
Provider Name (Legal Business Name): OMER AMIR OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 S COOPER ST STE 2310
ARLINGTON TX
76015-4148
US

IV. Provider business mailing address

1506 E GRIFFIN PKWY
MISSION TX
78572-2425
US

V. Phone/Fax

Practice location:
  • Phone: 817-385-1111
  • Fax: 469-689-5300
Mailing address:
  • Phone: 956-583-0202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number11499TG
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: