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NPI Code Detail

MEDICARE: KUDO CARE EYE CENTER PLLC

MEDICARE: KUDO CARE EYE CENTER 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
1152W00000XOptometrist
2207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1477417681
Entity Type Code : Organization
Provider Name (Legal Business Name) : KUDO CARE EYE CENTER PLLC
Provider Business Mailing Address
First Line : 3425 GRANDE BULEVAR
Second Line :
City : IRVING
State : TX
Zip : 75062-5108
Country : US
Telephone Number : 972-639-5836
Fax Number : 469-499-3937
Provider Business Practice Location Address
First Line : 3425 GRANDE BULEVAR
Second Line :
City : IRVING
State : TX
Zip : 75062-5108
Country : US
Telephone Number : 972-639-5836
Fax Number : 469-499-3937
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. ALEXANDRA LY
Credential : OD
Telephone Number : 972-639-5836
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “KUDO CARE EYE CENTER PLLC ” Practice Location

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