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NPI Code Detail

MEDICARE: TERRI L DYER O.D.

MEDICARE: TERRI L DYER O.D.
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
1152W00000XOptometrist7681TTX

General Provider Information

NPI Number : 1235338831
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI L DYER O.D.
Provider Business Mailing Address
First Line : 8519 SAGE MEADOW DR
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5041
Country : US
Telephone Number : 812-322-4360
Fax Number :
Provider Business Practice Location Address
First Line : 2910 MARKET LOOP
Second Line :
City : TEMPLE
State : TX
Zip : 76502-1855
Country : US
Telephone Number : 254-778-6165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2007
Last Update Date : 01/25/2022

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Directions to “ TERRI L DYER O.D.” Practice Location

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