NPI age
20 years
Enumerated 2006-01-13
Across 7867 active optometrist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 9965T | OPTOMETRY LICENSE |
| 01 (IN) | P00190498 | RAILROAD / TRAVELERS |
| 05 (IN) | 200402670A | |
| 01 (IN) | 000000351184 | ANTHEM |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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