Colleyville Eye Corporation
NPI 1063546414ActiveOrganization· Optometrist· Colleyville, TX
Optometrist in Colleyville, Texas, registered in NPPES in March 2007. The authorized official on file is Fortsmith Pham, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063546414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2007 |
| Last updated in NPPES | Jul 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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