MEDICARE: DR. MARGIE A YORK 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
1	152W00000X	Optometrist	2479TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80262Q	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1447237474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGIE A YORK O.D.

Provider Business Mailing Address
First Line	:	2020 W HIGHWAY 82
Second Line	:
City	:	GAINESVILLE
State	:	TX
Zip	:	76240-2051
Country	:	US
Telephone Number	:	940-612-2020
Fax Number	:	940-612-0083

Provider Business Practice Location Address
First Line	:	2020 W HIGHWAY 82
Second Line	:
City	:	GAINESVILLE
State	:	TX
Zip	:	76240-2051
Country	:	US
Telephone Number	:	940-612-2020
Fax Number	:	940-612-0083

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

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	07/02/2008

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Directions to “ DR. MARGIE A YORK O.D.” Practice Location

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