Abc Eyecare
Optometrist in Tyler, TX. Organization (NPI-2).
NPI number1255021432
StatusActive
Last updated in NPPESDec 6, 2023
Details
- NPI
- 1255021432
- Entity type
- Organization (NPI-2)
- Legal business name
- Abc Eyecare
- Organization subpart
- No
- Enumeration date
- May 10, 2023
- Certification date
- Dec 6, 2023
- Last updated
- Dec 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | – | – | |
| 152WP0200X | Optometrist, Pediatrics | – | – |
Other names
- Vision Source Of Tyler (Doing Business As)
Practice location
136 Shelley DrTyler, TX 75701-8723
Phone 903-561-8686 · Fax 903-581-1518
Mailing address
136 Shelley DrTyler, TX 75701-8723
Phone 903-520-3408 · Fax 903-581-1518
Authorized official
Katherine Emge Marshall
Owner/Optometrist
9035618686
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