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Main St. Optical

Optometrist in Denison, TX. Organization (NPI-2).

NPI number1740466697
StatusActive
Last updated in NPPESJan 11, 2008

Details

NPI
1740466697
Entity type
Organization (NPI-2)
Legal business name
Main St. Optical
Organization subpart
No
Enumeration date
Jan 10, 2008
Last updated
Jan 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist3551TTXYes

Practice location

307 W. Main St.
Denison, TX 75020-3124

Phone 903-465-9214 · Fax 903-463-6919

Mailing address

307 W. Main St.
Denison, TX 75020-3124

Phone 903-465-9214 · Fax 903-463-6919

Authorized official

Thomas K Baugh
Owner
9034659214

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