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MANSFIELD VISION CENTER LLC NPI 1407020985


NPI Information

NPI: 1407020985
Provider Name: MANSFIELD VISION CENTER LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
990 HIGHWAY 287 N STE 109
MANSFIELD, TX
ZIP 76063
Phone: (817) 453-4682
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MANSFIELD VISION CENTER LLC is a clinic center in Mansfield, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MANSFIELD VISION CENTER LLC NPI is 1407020985. The provider is registered as an organization entity type.

The provider's business location address is:

990 HIGHWAY 287 N STE 109
MANSFIELD, TX
ZIP 76063-611
Phone: (817) 453-4682

The provider's authorized official is Kyle Cooke .
The authorized official title is Owner and has the following contact phone number (817) 453-4682.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 4/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center4960TGTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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