Healthcare Provider Details
I. General information
NPI: 1952205031
Provider Name (Legal Business Name): JARRELL EYE CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
180 TOWN CENTER BLVD STE 400
JARRELL TX
76537-4007
US
IV. Provider business mailing address
2504 JACKSON DR
HARKER HEIGHTS TX
76548-2737
US
V. Phone/Fax
- Phone: 254-220-2920
- Fax:
- Phone: 254-220-2920
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
LARRY
EDWARD
KOCIAN
JR.
Title or Position: OWNER
Credential: OD
Phone: 254-220-2920