MEDICARE: F&M OPTICS LLC

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

General Provider Information

NPI Number	:	1790379352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	F&M OPTICS LLC

Provider Business Mailing Address
First Line	:	6415 ATHENEE LN
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-0369
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4407 LITTLE RD STE 650
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-5622
Country	:	US
Telephone Number	:	347-610-6818
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	DANIEL GARZA
Credential	:
Telephone Number	:	561-275-2020

Provider Enumeration Date	:	02/24/2021
Last Update Date	:	01/19/2022

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Directions to “F&M OPTICS LLC ” Practice Location

Language	Start Address	Practice Location

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