NPI age
19 years
Enumerated 2006-07-28
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 362492289 | TAX ID |
| 01 (IL) | 1636706 | BCBS |
| 01 (IL) | 7235044 | AETNA |
| 01 (IL) | 211019 | MEDICARE GROUP |
| 01 (IL) | 210209 | MEDICARE GROUP |
| 05 (IL) | 046009870 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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