MEDICARE: DR. JAMES P. PREDIGER & ASSOCIATES, INC

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

General Provider Information

NPI Number	:	1285907618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. JAMES P. PREDIGER & ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	2601 PRESTON RD
Second Line	:	SUITE 1126
City	:	FRISCO
State	:	TX
Zip	:	75034-9468
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1076 TOWN EAST MALL
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-4179
Country	:	US
Telephone Number	:	972-681-7614
Fax Number	:	972-681-8436

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES PREDIGER
Credential	:	OD
Telephone Number	:	972-681-7614

Provider Enumeration Date	:	02/15/2012
Last Update Date	:	02/15/2012

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