OrganizationActive
20/20 Icare Tyler PLLC
NPI 1073240271 · Optometrist · Tyler, TX
Provider details
- NPI number
- 1073240271
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Authorized official
- Long DO, President
Mailing address
5836 Sunny Meadow Ln
Grand Prairie, TX 75052-8782
Registry dates
- Enumerated
- 2022-08-07
- Last updated
- 2022-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.