Basic Information
| Provider Information | |||||||||
| NPI: | 1669862611 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MURPHY EYE ASSOCIATES, PA | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | MURPHY EYE ASSOCIATES | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 231 E FM 544 | ||||||||
| Address2: | SUITE 707 | ||||||||
| City: | MURPHY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750944047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724242211 | ||||||||
| FaxNumber: | 9724243311 | ||||||||
| Practice Location | |||||||||
| Address1: | 231 E FM 544 | ||||||||
| Address2: | SUITE 707 | ||||||||
| City: | MURPHY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750944047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724242211 | ||||||||
| FaxNumber: | 9724243311 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2015 | ||||||||
| LastUpdateDate: | 01/29/2015 | ||||||||
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| AuthorizedOfficialLastName: | BARNETT | ||||||||
| AuthorizedOfficialFirstName: | JUSTIN | ||||||||
| AuthorizedOfficialMiddleName: | KELLY | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/OPTOMETRIST | ||||||||
| AuthorizedOfficialTelephone: | 9724242211 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 06922TG | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.