NPI 1285819474 · live from the CMS NPI Registry
Advanced Eyelid Surgery Center & Laser Center
Ophthalmology in Colleyville, TX. National Provider Identifier 1285819474, active.
NPI record
| NPI | 1285819474 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 6407 Colleyville Blvd, Suite B, Colleyville, TX 76034 |
| Practice phone | 817-329-4480 |
| Enumerated | January 7, 2008 |
| Last updated | October 6, 2008 |
| Authorized official | Mayli Davis, Doctor |
| Other names | Advanced Eyelid Surgery Center & Laser Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | J5739 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.