NPI age
12 years
Enumerated 2014-05-08
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00E88B | MEDICARE ID - TYPE UNSPECIFIED |
| 05 (TX) | 112447101 |
Single-site organization. Only one practice location on file.
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