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NPI Code Detail

MEDICARE: EYEMASTERS OF TEXAS LTD

MEDICARE: EYEMASTERS OF TEXAS LTD
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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1871683912
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYEMASTERS OF TEXAS LTD
Provider Business Mailing Address
First Line : PO BOX 848449
Second Line :
City : DALLAS
State : TX
Zip : 75284-8449
Country : US
Telephone Number : 210-524-6663
Fax Number : 210-524-6587
Provider Business Practice Location Address
First Line : 7805 N MACARTHUR BLVD
Second Line : SUITE 100
City : IRVING
State : TX
Zip : 75063-7516
Country : US
Telephone Number : 214-574-5175
Fax Number : 972-910-8778
Authorized Official
Title or Position : OFFICER
Name : DOUG NEWCOM
Credential :
Telephone Number : 210-524-6700
Provider Enumeration Date : 10/12/2006
Last Update Date : 08/28/2008

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Directions to “EYEMASTERS OF TEXAS LTD ” Practice Location

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