MEDICARE: TA EYE ASSOCIATES, PLLC

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	152W00000X	Optometrist	7771TG	TX

General Provider Information

NPI Number	:	1215299441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TA EYE ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	3811 S COOPER ST
Second Line	:	SUITE #2004
City	:	ARLINGTON
State	:	TX
Zip	:	76015-4120
Country	:	US
Telephone Number	:	817-472-5050
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 S COOPER ST
Second Line	:	SUITE #2004
City	:	ARLINGTON
State	:	TX
Zip	:	76015-4120
Country	:	US
Telephone Number	:	817-472-5050
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DIANE TA
Credential	:	O.D.
Telephone Number	:	843-450-0746

Provider Enumeration Date	:	06/13/2012
Last Update Date	:	06/13/2012

Similar Medicare Providers

1386625689 — CHRISTIANE MICHELLE ROYAL-MCALEXANDER O.D.
Practice Location Address:

3811 S COOPER ST , SUITE 2004
ARLINGTON, TX
76015-4120

Practice Phone: 817-468-4461
Practice Fax: 817-468-4742

1235221201 — EYEMASTERS OF TEXAS LTD
Practice Location Address:

3811 S COOPER ST , SUITE 1210
ARLINGTON, TX
76015-4120

Practice Phone: 817-465-3934
Practice Fax: 817-465-5744

1336417682 — VISIONWORKS, INC.
Practice Location Address:

3811 S COOPER ST , SUITE #1210
ARLINGTON, TX
76015-4120

Practice Phone: 817-465-3934
Practice Fax: 817-465-5744

1083951503 — EYECRAFTERS
Practice Location Address:

3811 S COOPER ST , SUITE 1004
ARLINGTON, TX
76015-4120

Practice Phone: 817-468-5900
Practice Fax: 817-468-5901

1417266016 — DR. KENYON GODWIN D.C.
Practice Location Address:

4120 N COLLINS ST STE 200
ARLINGTON, TX
76005-4554

Practice Phone: 817-557-2770
Practice Fax: 817-557-1795

1801106299 — MODUS VIVENDI CHIROPRACTIC PLLC
Practice Location Address:

4120 N COLLINS ST STE 200
ARLINGTON, TX
76005-4554

Practice Phone: 817-557-2770
Practice Fax: 817-557-1795

Directions to “TA EYE ASSOCIATES, PLLC ” 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.