MEDICARE: ESSILOR VISION FOUNDATION

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

General Provider Information

NPI Number	:	1942518881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSILOR VISION FOUNDATION

Provider Business Mailing Address
First Line	:	13515 N STEMMONS FWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-5765
Country	:	US
Telephone Number	:	972-749-7507
Fax Number	:	972-243-3451

Provider Business Practice Location Address
First Line	:	13515 N STEMMONS FWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-5765
Country	:	US
Telephone Number	:	972-749-7507
Fax Number	:	972-243-3451

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KIM SCHUY
Credential	:
Telephone Number	:	214-496-4056

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	06/15/2016

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Directions to “ESSILOR VISION FOUNDATION ” Practice Location

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