MEDICARE: EYE LOVE EYES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician

General Provider Information

NPI Number	:	1124627278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE LOVE EYES, LLC

Provider Business Mailing Address
First Line	:	4825 CAMP BOWIE BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-4150
Country	:	US
Telephone Number	:	817-731-4646
Fax Number	:

Provider Business Practice Location Address
First Line	:	4825 CAMP BOWIE BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-4150
Country	:	US
Telephone Number	:	817-731-4646
Fax Number	:

Authorized Official
Title or Position	:	CERTIFIED OPTICIAN
Name	:	JONATHAN COTTER
Credential	:	ABO
Telephone Number	:	214-801-5313

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	10/20/2020

Similar Medicare Providers

1669475182 — DR. TIMOTHY P KRET O.D.
Practice Location Address:

4825 CAMP BOWIE BLVD
FORT WORTH, TX
76107-4150

Practice Phone: 817-731-4646
Practice Fax: 817-731-4646

1033170667 — RANDY JOE MONTGOMERY MD
Practice Location Address:

4825 CAMP BOWIE BLVD
FORT WORTH, TX
76107-4150

Practice Phone: 817-336-2010
Practice Fax: 817-377-0074

1346459500 — B J RUST JR
Practice Location Address:

4825 CAMP BOWIE BLVD
FORT WORTH, TX
76107-4150

Practice Phone: 817-731-4646
Practice Fax: 817-731-4646

1134592744 — FW HEARING LLC
Practice Location Address:

4823 CAMP BOWIE BLVD
FORT WORTH, TX
76107-4150

Practice Phone: 817-439-9205
Practice Fax:

1215485875 — KRET ENTERPRISES, PLLC
Practice Location Address:

4825 CAMP BOWIE BLVD
FORT WORTH, TX
76107-4150

Practice Phone: 817-731-4646
Practice Fax:

1194893180 — ST. GILES LIVING CENTERS, INC.
Practice Location Address:

4150 INTERNATIONAL PLZ STE 820
FORT WORTH, TX
76109-4836

Practice Phone: 800-299-5161
Practice Fax: 817-447-3033

Directions to “EYE LOVE EYES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.