NPI age
19 years
Enumerated 2006-12-11
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1902852346 | GROUP NPI |
| 01 (TX) | 8DT969 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 1234530001 | DMERC |
| 01 (TX) | 00E41Y | GROUP PIN |
| 01 (TX) | K0122300 | DPS |
| 01 (TX) | 3923TG | STATE LICENSE |
| 01 (TN) | 752711435 | GROUP TAX ID |
| 01 (TX) | 1609936319 | NPI |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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