MEDICARE: AMARILLO FAMILY EYECARE, PC

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TXB165317	OTHER	TX	MEDICARE GROUP PTAN

General Provider Information

NPI Number	:	1699052407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMARILLO FAMILY EYECARE, PC

Provider Business Mailing Address
First Line	:	2921 I-40 W
Second Line	:	SUITE 300
City	:	AMARILLO
State	:	TX
Zip	:	79109-1616
Country	:	US
Telephone Number	:	806-322-3937
Fax Number	:	806-322-2220

Provider Business Practice Location Address
First Line	:	2921 I-40 W
Second Line	:	SUITE 300
City	:	AMARILLO
State	:	TX
Zip	:	79109-1616
Country	:	US
Telephone Number	:	806-322-3937
Fax Number	:	806-322-2220

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MACKENZIE HILL WEIR
Credential	:	O.D.
Telephone Number	:	806-322-3937

Provider Enumeration Date	:	11/08/2011
Last Update Date	:	01/13/2026

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1225340870 — DR. MACKENZIE WEIR O.D.
Practice Location Address:

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1114919883 — SAM R NORMAN, ED.D. LPC
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Directions to “AMARILLO FAMILY EYECARE, PC ” Practice Location

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