MEDICARE: DR. EMILEE HURST ANTHONY OD

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	11403TG	TX

General Provider Information

NPI Number	:	1619864618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILEE HURST ANTHONY OD

Provider Business Mailing Address
First Line	:	2604 CENTENARY DR
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-4548
Country	:	US
Telephone Number	:	806-570-8206
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 SAM RAYBURN HWY STE 600
Second Line	:
City	:	MELISSA
State	:	TX
Zip	:	75454-2246
Country	:	US
Telephone Number	:	972-837-2222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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