MEDICARE: IAN GARCIA

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	156FX1800X	Optician	254766	TX

General Provider Information

NPI Number	:	1932978905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IAN GARCIA

Provider Business Mailing Address
First Line	:	3801 KELL BLVD
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-1605
Country	:	US
Telephone Number	:	940-691-3597
Fax Number	:	405-753-9885

Provider Business Practice Location Address
First Line	:	3801 KELL BLVD
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-1605
Country	:	US
Telephone Number	:	940-691-3597
Fax Number	:	405-753-9885

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

Provider Enumeration Date	:	01/01/2024
Last Update Date	:	02/16/2026

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Directions to “ IAN GARCIA ” Practice Location

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