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TEXAS RETINA ASSOCIATES NPI 1093750853


NPI Information

NPI: 1093750853
Provider Name: TEXAS RETINA ASSOCIATES
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
4517 98TH ST
LUBBOCK, TX
ZIP 79424
Phone: (806) 792-0066
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TEXAS RETINA ASSOCIATES is an ophthalmology in Lubbock, TX. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. TEXAS RETINA ASSOCIATES NPI is 1093750853. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4517 98TH ST
LUBBOCK, TX
ZIP 79424-013
Phone: (806) 792-0066

The provider's authorized official is Jefferey T. Brockette .
The authorized official title is Ceo and has the following contact phone number (214) 692-6941.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 12/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1094850703MEDICAIDTEXAS
200291YMEDICARE PINTEXAS
3G4476MEDICAIDNEW MEXICO
4DC9453MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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