Provider Demographics
NPI:1548270374
Name:MEKAS FAMILY EYECARE INC
Entity type:Organization
Organization Name:MEKAS FAMILY EYECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:NWOKEDI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-575-7668
Mailing Address - Street 1:11255 GARLAND RD
Mailing Address - Street 2:STE 1130
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-2526
Mailing Address - Country:US
Mailing Address - Phone:214-575-7668
Mailing Address - Fax:214-660-7071
Practice Address - Street 1:11255 GARLAND RD
Practice Address - Street 2:STE 1130
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-2526
Practice Address - Country:US
Practice Address - Phone:214-575-7668
Practice Address - Fax:214-660-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06476T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X063Medicare PIN