NPI age
19 years
Enumerated 2006-09-20
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 066137301 | |
| 05 (TX) | 093056201 | |
| 01 (TX) | 80933Q | BCBS |
Single-site organization. Only one practice location on file.
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