Healthcare Provider Details

I. General information

NPI: 1184208134
Provider Name (Legal Business Name): WARD EYE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2306 E END BLVD S
MARSHALL TX
75672-7469
US

IV. Provider business mailing address

1821 JUDSON RD
LONGVIEW TX
75605-4710
US

V. Phone/Fax

Practice location:
  • Phone: 903-938-2555
  • Fax: 903-238-8876
Mailing address:
  • Phone: 903-758-8832
  • Fax: 903-238-8876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State

VIII. Authorized Official

Name: SARAH E WARD
Title or Position: OWNER/ OPTOMETRIST
Credential: OD
Phone: 903-261-9030