Contract Details
Ancillary Care Services
Facility name
Eye Q Vision
Provider ID
P000005623
NPI
1922060706
Tax ID
273991744
Effective Date
5/24/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
8380 Warren Parkway Suite 605
Frisco, TX 75034
United States
County
Denton
Phone
9726683131 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address