NPI age
19 years
Enumerated 2006-06-14
Across 7867 active optometrist providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 149833901 | |
| 01 (TX) | 8AJ003 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 00Y402 | MEDICARE PTAN |
| 01 (TX) | 919643 | BLOCK VISION |
Multi-provider organization. 1 individual provider on file at this primary address.
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