Specialeyes Optical, LLC
Specialeyes Optical, LLC is a healthcare organization registered as Optometrist in Mansfield, TX, holding Type 2 (organization) NPI 1124573092 since 2016. The authorized official on file is Eric Packwood, Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124573092 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Specialeyes Optical, LLC |
| Practice address | 1106 ALEXIS CT, Mansfield, TX, 76063 |
| Phone | 8175299929 |
| Fax | 8175299927 |
| Enumeration date | 2016-08-22 |
| Last updated in NPPES | 2016-08-22 |
Authorized official
| Name | Eric Packwood |
|---|---|
| Title | Member |
| Phone | 8175299949 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 7210TG | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166926901 | Medicaid | TX | — |
| 145291402 | Medicaid | TX | — |
| 018440004 | Medicaid | TX | — |
| 207716601 | Medicaid | TX | — |
| 323588905 | Medicaid | TX | — |
| 287401803 | Medicaid | TX | — |
| 294486001 | Medicaid | TX | — |
Copy-ready billing details
Provider: Specialeyes Optical, LLC NPI: 1124573092 Taxonomy: 152W00000X (Optometrist) Address: 1106 ALEXIS CT, Mansfield, TX, 76063
Verify this record
Cross-check NPI 1124573092 against the authoritative CMS record: view Specialeyes Optical, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Specialeyes Optical, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-08-22.