MEDICARE: SAWYER 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
1	207W00000X	Ophthalmology Physician	M3727	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1568482578	OTHER	TX	NPI

General Provider Information

NPI Number	:	1831516517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAWYER EYE CENTER, PLLC

Provider Business Mailing Address
First Line	:	925 SANTA FE DR STE 105
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5867
Country	:	US
Telephone Number	:	682-300-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 SANTA FE DR STE 105
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5867
Country	:	US
Telephone Number	:	682-300-2020
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CALEB RANDALL SAWYER
Credential	:	M.D.
Telephone Number	:	682-300-2020

Provider Enumeration Date	:	03/19/2014
Last Update Date	:	06/17/2021

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