NPI age
19 years
Enumerated 2007-03-30
Across 42 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 82FB | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 093395402 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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