Healthcare Provider Details

I. General information

NPI: 1225945603
Provider Name (Legal Business Name): BRIGHT EYES CATARACT AND LASER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 JUDSON RD
LONGVIEW TX
75601-3919
US

IV. Provider business mailing address

1506 JUDSON RD
LONGVIEW TX
75601-3919
US

V. Phone/Fax

Practice location:
  • Phone: 903-758-8832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN WARD
Title or Position: CEO
Credential:
Phone: 903-758-8832