NPI age
20 years
Enumerated 2005-11-14
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8F21704 | MEDICARE PTAN INDIVIDUAL |
| 01 (TX) | 0A4530 | MEDICARE GROUP PTAN |
| 01 (TX) | OOE12Y | MEDICARE PROVIDER NUMBER |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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