MEDICARE: SPHINX 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

General Provider Information

NPI Number	:	1336813450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPHINX EYE CARE PLLC

Provider Business Mailing Address
First Line	:	8941 COIT RD STE 200
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-7786
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8941 COIT RD STE 200
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-7786
Country	:	US
Telephone Number	:	972-668-1122
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. YASMIN EL-HAG
Credential	:	O.D.
Telephone Number	:	469-235-5811

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	08/03/2021

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