MEDICARE: SWISS EYE CARE 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	7039	TX

General Provider Information

NPI Number	:	1336382746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWISS EYE CARE PLLC

Provider Business Mailing Address
First Line	:	2625 OLD DENTON RD
Second Line	:	SUITE 548
City	:	CARROLLTON
State	:	TX
Zip	:	75007-5125
Country	:	US
Telephone Number	:	972-242-1652
Fax Number	:	972-242-1694

Provider Business Practice Location Address
First Line	:	2625 OLD DENTON RD
Second Line	:	SUITE 548
City	:	CARROLLTON
State	:	TX
Zip	:	75007-5125
Country	:	US
Telephone Number	:	972-242-1652
Fax Number	:	972-242-1694

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. SANG AN
Credential	:	O.D.
Telephone Number	:	972-242-1658

Provider Enumeration Date	:	04/14/2009
Last Update Date	:	03/16/2010

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Directions to “SWISS EYE CARE PLLC ” Practice Location

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