MEDICARE: DREAMWORKS EYECARE

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

General Provider Information

NPI Number	:	1295274926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREAMWORKS EYECARE

Provider Business Mailing Address
First Line	:	4420 N TARRANT PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-4922
Country	:	US
Telephone Number	:	682-593-7800
Fax Number	:	832-934-1161

Provider Business Practice Location Address
First Line	:	4420 N TARRANT PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-4922
Country	:	US
Telephone Number	:	682-593-7800
Fax Number	:	832-934-1161

Authorized Official
Title or Position	:	OD/OWNER
Name	:	DUNG DUY NGUYEN
Credential	:	OD/OWNER
Telephone Number	:	682-593-7800

Provider Enumeration Date	:	02/14/2017
Last Update Date	:	02/14/2017

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Directions to “DREAMWORKS EYECARE ” Practice Location

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