MEDICARE: WELDING EYECARE,PLLC

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1275708836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELDING EYECARE,PLLC

Provider Business Mailing Address
First Line	:	2300 HIGHLAND VILLAGE RD
Second Line	:	SUITE 200
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7148
Country	:	US
Telephone Number	:	972-317-3888
Fax Number	:	972-316-6977

Provider Business Practice Location Address
First Line	:	2300 HIGHLAND VILLAGE RD
Second Line	:	SUITE 200
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7148
Country	:	US
Telephone Number	:	972-317-3888
Fax Number	:	972-316-6977

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MARK PAUL WELDING
Credential	:	O.D.
Telephone Number	:	972-317-3888

Provider Enumeration Date	:	04/24/2008
Last Update Date	:	03/30/2009

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