Provider Demographics
NPI:1538564703
Name:YOUR EYECARE DOCS, PLLC
Entity type:Organization
Organization Name:YOUR EYECARE DOCS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:309-253-8100
Mailing Address - Street 1:2250 FULLER WISER RD
Mailing Address - Street 2:8103
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-4265
Mailing Address - Country:US
Mailing Address - Phone:309-253-8100
Mailing Address - Fax:
Practice Address - Street 1:1732 PRECINCT LINE RD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3165
Practice Address - Country:US
Practice Address - Phone:309-253-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4078T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty