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CANADIAN EYECARE CLINIC P.C. NPI 1285645218


NPI Information

NPI: 1285645218
Provider Name: CANADIAN EYECARE CLINIC, P.C.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
306 MAIN ST
CANADIAN, TX
ZIP 79014
Phone: (806) 323-8484
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CANADIAN EYECARE CLINIC, P.C. is a clinic center in Canadian, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CANADIAN EYECARE CLINIC, P.C. NPI is 1285645218. The provider is registered as an organization entity type.

The provider's business location address is:

306 MAIN ST
CANADIAN, TX
ZIP 79014-215
Phone: (806) 323-8484

The provider's authorized official is Robert Lusk .
The authorized official title is Owner and has the following contact phone number (806) 323-8484.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 3/22/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center2073OKLAHOMANo
2261Q00000XClinic/Center4674TTEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1143542201MEDICAIDTEXAS
200313NMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE NUMBER

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: 5/5/2024

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