NPI age
20 years
Enumerated 2006-04-11
Across 7867 active optometrist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (KS) | 203384798 | FREEDOM NETWORK |
| 01 (KS) | 20338479866220A002 | TRICARE |
| 01 (KS) | 31795041 | BC/BS OF KC |
| 01 (KS) | 7038483 | AETNA |
| 01 (KS) | 20-3384798 | UHC |
Solo or small practice. No other active providers share this practice address in NPPES.
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