Healthcare Provider Details

I. General information

NPI: 1851786511
Provider Name (Legal Business Name): OCULUS IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 03/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 DALLAS PARKWAY SUITE 200
FRISCO TX
75034
US

IV. Provider business mailing address

PO BOX 1402
COLLEYVILLE TX
76034-1402
US

V. Phone/Fax

Practice location:
  • Phone: 817-821-3568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JANE SCOTT
Title or Position: MANAGER
Credential:
Phone: 817-821-3568