MEDICARE: OCULAR SERVICES OF TEXAS, INC.

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	:	1902994742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCULAR SERVICES OF TEXAS, INC.

Provider Business Mailing Address
First Line	:	7500 N MESA ST
Second Line	:	SUITE 104
City	:	EL PASO
State	:	TX
Zip	:	79912-3501
Country	:	US
Telephone Number	:	915-833-1895
Fax Number	:	915-875-0111

Provider Business Practice Location Address
First Line	:	7500 N MESA ST
Second Line	:	SUITE 104
City	:	EL PASO
State	:	TX
Zip	:	79912-3501
Country	:	US
Telephone Number	:	915-833-1895
Fax Number	:	915-875-0111

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. OSCAR G. DOMINGUEZ
Credential	:
Telephone Number	:	915-833-1895

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	08/22/2020

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