Provider Demographics
NPI:1871371872
Name:THIRD EYE PLLC
Entity type:Organization
Organization Name:THIRD EYE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-462-0020
Mailing Address - Street 1:2800 S IH 35 STE 126
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-5700
Mailing Address - Country:US
Mailing Address - Phone:512-462-0020
Mailing Address - Fax:512-462-1926
Practice Address - Street 1:2800 S IH 35 STE 126
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5700
Practice Address - Country:US
Practice Address - Phone:512-462-0020
Practice Address - Fax:512-462-1926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty