NPI age
20 years
Enumerated 2005-07-11
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DQ7835 | RAILROAD PTAN |
| 01 (TX) | 4286TG | OPTOMETRY LICENSE |
| 01 | 81503Q | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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