Healthcare Provider Details

I. General information

NPI: 1134921190
Provider Name (Legal Business Name): HASLET FAMILY EYECARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2432 AVONDALE HASLET RD STE 200
HASLET TX
76052-3428
US

IV. Provider business mailing address

2432 AVONDALE HASLET RD STE 200
HASLET TX
76052-3428
US

V. Phone/Fax

Practice location:
  • Phone: 817-993-2020
  • Fax: 682-255-2200
Mailing address:
  • Phone: 682-382-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: ANJONETTE COLVIN
Title or Position: OWNER
Credential: OD
Phone: 682-382-2020