Healthcare Provider Details

I. General information

NPI: 1932024510
Provider Name (Legal Business Name): ADVANCED EYE SURGICAL PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 W HEBRON PKWY STE 220
CARROLLTON TX
75010-6340
US

IV. Provider business mailing address

1601 W HEBRON PKWY STE 220
CARROLLTON TX
75010-6340
US

V. Phone/Fax

Practice location:
  • Phone: 800-375-4555
  • Fax: 800-375-4555
Mailing address:
  • Phone: 800-375-4555
  • Fax: 800-375-4555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE SHAFRON
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 800-375-4555