MEDICARE: DRS E M WRIGHT & WRIGHT & WRIGHT OPTOMETRISTS PC

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
1	152W00000X	Optometrist	3406TG	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1023135712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS E M WRIGHT & WRIGHT & WRIGHT OPTOMETRISTS PC

Provider Business Mailing Address
First Line	:	PO BOX 970
Second Line	:
City	:	SEMINOLE
State	:	TX
Zip	:	79360-0970
Country	:	US
Telephone Number	:	806-592-2020
Fax Number	:	806-592-2074

Provider Business Practice Location Address
First Line	:	103 E BROADWAY ST
Second Line	:
City	:	DENVER CITY
State	:	TX
Zip	:	79323-3225
Country	:	US
Telephone Number	:	806-592-2020
Fax Number	:	806-592-2074

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID A WRIGHT
Credential	:	OD
Telephone Number	:	432-758-3229

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	04/05/2011

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