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NPI Code Detail

MEDICARE: DR. TIMOTHY ANDREW WRIGHT O.D.

MEDICARE: DR. TIMOTHY ANDREW WRIGHT 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
1152W00000XOptometrist5473TGTX

General Provider Information

NPI Number : 1902981046
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY ANDREW WRIGHT O.D.
Provider Business Mailing Address
First Line : 1410 14TH ST
Second Line :
City : PLANO
State : TX
Zip : 75074-6302
Country : US
Telephone Number : 972-424-6010
Fax Number : 972-424-9913
Provider Business Practice Location Address
First Line : 1410 14TH ST
Second Line :
City : PLANO
State : TX
Zip : 75074-6302
Country : US
Telephone Number : 972-424-6010
Fax Number : 972-424-9913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/21/2022

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