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TEXOMA FAMILY EYE CARE CLINIC PA NPI 1982780615


NPI Information

NPI: 1982780615
Provider Name: TEXOMA FAMILY EYE CARE CLINIC PA
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
4102 JACKSBORO HWY
SUITE 100
WICHITA FALLS, TX
ZIP 76302
Phone: (940) 696-9072
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TEXOMA FAMILY EYE CARE CLINIC PA is an optometrist in Wichita Falls, TX. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. TEXOMA FAMILY EYE CARE CLINIC PA NPI is 1982780615. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4102 JACKSBORO HWY
SUITE 100
WICHITA FALLS, TX
ZIP 76302-747
Phone: (940) 696-9072
Fax: (940) 761-1115

The provider's authorized official is Leeann Moll-lear .
The authorized official title is Owner and has the following contact phone number (940) 696-9072.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 5/9/2008.


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
1152W00000XOptometrist3892TTEXASYes

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
18F0247OTHERTEXASREFERRING PROVIDER ID
2MO001348245OTHERTEXASHIGHMARK BCBS/ALCOA
3T86242MEDICARE UPINTEXAS
40022FCOTHERTEXASBLUE CROSS BLUE SHIELD
50933137-01MEDICAIDTEXAS
600925YMEDICARE ID-TYPE UNSPECIFIEDTEXAS
74909020001MEDICARE NSCTEXAS

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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