MEDICARE: DR. CATHERINE MARIE HALL 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	152WC0802X	Corneal and Contact Management Optometrist	5639TG	TX
2	152W00000X	Optometrist	5639	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5639TG	OTHER	TX	TEXAS STATE LICENSE NUMBE

General Provider Information

NPI Number	:	1780733592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE MARIE HALL O.D.

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	610 N TOWN EAST BLVD STE 100
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-4705
Country	:	US
Telephone Number	:	972-279-2020
Fax Number	:	972-279-2637

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	12/12/2025

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