Healthcare Provider Details

I. General information

NPI: 1982132270
Provider Name (Legal Business Name): LOVE 4 EYES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 08/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 W NOLANA AVE
MCALLEN TX
78504
US

IV. Provider business mailing address

423 W. NOLANA AVE.
MCALLEN TX
78504
US

V. Phone/Fax

Practice location:
  • Phone: 956-631-3366
  • Fax: 866-668-0313
Mailing address:
  • Phone: 956-631-3366
  • Fax: 866-668-0313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KRISELDA ALVARADO
Title or Position: OD
Credential: OD
Phone: 956-631-3366