Individual provider · NPI-1

Dr. Marie Lulette Pinto Fermil, OD

Optometrist · El Paso, TX

NPI number1063728277

StatusActive

Last updated in NPPESMay 16, 2023

Details

NPI: 1063728277
Entity type: Individual (NPI-1)
Name: Dr. Marie Lulette Pinto Fermil
Credential: OD
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 25, 2010
Certification date: May 16, 2023
Last updated: May 16, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	0618002793	VA	Yes
156F00000X	Technician/Technologist	–	–
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

1325 George Dieter Dr Ste I2
El Paso, TX 79936-7484

Phone 915-591-8800

Mailing address

7364 Brays Landing Dr
El Paso, TX 79911-3101

Phone 925-978-3248

Other practice locations

126 Missouri Ave
Box 1263
Fort Leonard Wood, MO 65473-8952

Phone 573-596-0048

915 N Grand Blvd
Saint Louis, MO 63106-1621

Phone 314-652-4100

5005 North Piedras Street
El Paso, TX 79920

Phone 925-978-3248

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