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General NPI Number Information
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NPI Number | 1487158887
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Entity Type | Organization
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Legal Business Name | DALLAS EYE MD PLLC
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 931 RIDGEVIEW DR STE 1100
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City | ALLEN
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State | TX
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Zip | 75013
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Country | US
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Telephone | 469-421-2100
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Fax | 972-421-8224
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Provider Business Mailing Address
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Address Line | 931 RIDGEVIEW DR STE 1100
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City | ALLEN
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State | TX
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Zip | 75013
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Country | US
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Telephone | 469-421-2100
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Fax | 972-421-8224
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Authorized Official
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Title or Position | DIRECTOR
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Name | JAY JOSEPH
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Credential | MD
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Telephone | 469-421-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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