Healthcare Provider Details

I. General information

NPI: 1982950481
Provider Name (Legal Business Name): LINDSEY ALEXANDER OD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2012
Last Update Date: 09/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N ADELAIDE ST
TERRELL TX
75160-2709
US

IV. Provider business mailing address

110 N ADELAIDE ST
TERRELL TX
75160-2709
US

V. Phone/Fax

Practice location:
  • Phone: 972-563-3253
  • Fax: 972-551-1224
Mailing address:
  • Phone: 972-563-3253
  • Fax: 972-551-1224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number7502TG
License Number StateTX

VIII. Authorized Official

Name: DR. LINDSEY ANN ALEXANDER
Title or Position: OPTOMETRIST/OWNER
Credential: O.D.
Phone: 972-563-3253