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NPI Code Detail

MEDICARE: CRAIG EYE ASSOCIATES

MEDICARE: CRAIG EYE ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist4861TGTX
2207W00000XOphthalmology PhysicianE9590TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003815945
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRAIG EYE ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 680
Second Line :
City : HENDERSON
State : TX
Zip : 75653-0680
Country : US
Telephone Number : 903-657-9571
Fax Number : 903-657-7361
Provider Business Practice Location Address
First Line : 1600 US HIGHWAY 79 S
Second Line :
City : HENDERSON
State : TX
Zip : 75654-4508
Country : US
Telephone Number : 903-657-9571
Fax Number : 903-657-7361
Authorized Official
Title or Position : OFFICE MANAGER
Name : MARGARET A. LEITNER
Credential :
Telephone Number : 903-657-9571
Provider Enumeration Date : 07/20/2005
Last Update Date : 12/21/2009

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Directions to “CRAIG EYE ASSOCIATES ” Practice Location

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