NPI age
20 years
Enumerated 2005-11-17
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1763393-01 | |
| 01 (TX) | 81432Q | BLUE CROSS & BLUE SHEILD NUMBER |
| 01 (TX) | 06615TG | OPTOMETRY LICENSE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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