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NPI Code Detail

MEDICARE: MILLS COUNTY EYE CARE P. C.

MEDICARE: MILLS COUNTY EYE CARE P. C.
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
1332H00000XEyewear SupplierTX

General Provider Information

NPI Number : 1679756662
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLS COUNTY EYE CARE P. C.
Provider Business Mailing Address
First Line : PO BOX 669
Second Line : 1020 FOURTH ST.
City : GOLDTHWAITE
State : TX
Zip : 76844-0669
Country : US
Telephone Number : 325-648-2040
Fax Number :
Provider Business Practice Location Address
First Line : 1020 FOURTH ST
Second Line :
City : GOLDTHWAITE
State : TX
Zip : 76844-0669
Country : US
Telephone Number : 325-648-2040
Fax Number :
Authorized Official
Title or Position : DOCTOR/OWNER
Name : MELANIE CARYNE BARTEK
Credential : O. D.
Telephone Number : 325-648-2040
Provider Enumeration Date : 12/12/2007
Last Update Date : 08/12/2008

Similar Medicare Providers

1982694394 — DR. MELANIE CARYNE BARTEK O. D.
Practice Location Address:
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Practice Fax:
1518900778 — CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
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1366488678 — DR. DEBBIE CRAWFORD DO
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Directions to “MILLS COUNTY EYE CARE P. C. ” Practice Location

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