MEDICARE: JAMES ROBERT AUVIL OD

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	2411	OK
2	152W00000X	Optometrist	6844T	TX
3	152W00000X	Optometrist	3654	WA
4	152W00000X	Optometrist	18003109A	IN

General Provider Information

NPI Number	:	1972700995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ROBERT AUVIL OD

Provider Business Mailing Address
First Line	:	3911 S WALTON WALKER BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75236-1509
Country	:	US
Telephone Number	:	214-312-3353
Fax Number	:

Provider Business Practice Location Address
First Line	:	3911 S WALTON WALKER BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75236-1509
Country	:	US
Telephone Number	:	214-312-3353
Fax Number	:

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

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	12/06/2009

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