MEDICARE: EYES FIRST INC

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	332H00000X	Eyewear Supplier	157378	DC

General Provider Information

NPI Number	:	1346618097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYES FIRST INC

Provider Business Mailing Address
First Line	:	2536 MALL CIR
Second Line	:	SUITE D
City	:	FORT WORTH
State	:	TX
Zip	:	76116-1545
Country	:	US
Telephone Number	:	817-731-7434
Fax Number	:	817-738-2043

Provider Business Practice Location Address
First Line	:	2536 MALL CIR
Second Line	:	SUITE D
City	:	FORT WORTH
State	:	TX
Zip	:	76116-1545
Country	:	US
Telephone Number	:	817-731-7434
Fax Number	:	817-738-2043

Authorized Official
Title or Position	:	OWNER OPERATOR
Name	:	MR. ZAHEER MOHAMMED HABIBI
Credential	:	OPTICIAN
Telephone Number	:	469-826-0197

Provider Enumeration Date	:	09/11/2015
Last Update Date	:	01/14/2016

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Directions to “EYES FIRST INC ” Practice Location

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