NPI age
15 years
Enumerated 2010-08-04
Across 7867 active optometrist providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TIN PLUS 015 | TRICARE JV LOCATION |
| 05 (TX) | 216828801 | |
| 01 (TX) | 75-2616977-028 | TRICARE |
| 01 (TX) | 82831Q | BCBS |
| 01 (TX) | 752616977-021 | TRICARE |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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