NPI age
20 years
Enumerated 2005-06-23
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200019020B | |
| 01 (OK) | CO5028 | MEDICARE ID |
| 01 (OK) | P00135879 | MEDICARE ID |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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