NPI 1043454465

Superior Eyes Corp

Organisation Preferred Provider Organization Fort Worth, TX

Practice location

Address: 5860 N. Tarrant Pkwy. STE. 108, Fort Worth, TX 76244
Phone: (817) 656-0440
Fax: (817) 428-4262

Authorised official

Name: Dary Prupes
Title: President/Owner
Phone: (817) 656-0440

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1043454465
Entity type: Organization
NPI issued: 29 Apr 2009
Record last updated: 22 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.