Jose Miguel Correa-Dieguez, O.D.
Optometrist in Texas City, TX. Individual provider (NPI-1).
NPI number1700218930
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1700218930
- Entity type
- Individual (NPI-1)
- Name
- Jose Miguel Correa-Dieguez
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2013
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 8288-T | TX | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | 8288-T | TX | |
| 207WX0009X | Ophthalmology, Glaucoma Specialist | 8288-T | TX |
Practice location
2506 25th Ave N Ste 3Texas City, TX 77590-4666
Phone 409-945-5511 · Fax 409-945-5385
Mailing address
2506 25th Ave N Ste 3Texas City, TX 77590-4666
Phone 409-945-5511 · Fax 409-945-5385
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