Healthcare Provider Details

I. General information

NPI: 1699446377
Provider Name (Legal Business Name): SAGINAW FAMILY EYECARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 E BAILEY BOSWELL RD STE 200
SAGINAW TX
76131-3575
US

IV. Provider business mailing address

616 E BAILEY BOSWELL RD STE 200
SAGINAW TX
76131-3576
US

V. Phone/Fax

Practice location:
  • Phone: 682-382-2020
  • Fax:
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: DR. ANJONETTE COLVIN
Title or Position: OWNER
Credential: OD
Phone: 817-701-8775