MEDICARE: EYE CARE OPTICAL

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	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1235331281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE CARE OPTICAL

Provider Business Mailing Address
First Line	:	1255 ASHBY ST
Second Line	:	SUITE E
City	:	SEGUIN
State	:	TX
Zip	:	78155-5118
Country	:	US
Telephone Number	:	830-379-7230
Fax Number	:	830-379-7231

Provider Business Practice Location Address
First Line	:	1255 ASHBY ST
Second Line	:	SUITE E
City	:	SEGUIN
State	:	TX
Zip	:	78155-5118
Country	:	US
Telephone Number	:	830-379-7230
Fax Number	:	830-379-7231

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICHARD E FLEMING
Credential	:	M.D.
Telephone Number	:	830-379-7230

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	08/22/2020

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Directions to “EYE CARE OPTICAL ” Practice Location

Language	Start Address	Practice Location

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