NPI age
19 years
Enumerated 2006-09-07
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 02336052 | |
| 01 (MS) | 424298830A | BCBS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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