Willie B Castleberry III, O.D.
Optometrist in Wichita Falls, TX. Individual provider (NPI-1).
NPI number1871503128
StatusActive
Last updated in NPPESFeb 2, 2017
Details
- NPI
- 1871503128
- Entity type
- Individual (NPI-1)
- Name
- Willie B Castleberry III
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2006
- Last updated
- Feb 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 5767TG | TX | Yes |
Other names
- Colin Castleberry (Professional Name)
Practice location
3111 Midwestern PkwySte 256a
Wichita Falls, TX 76308-2823
Phone 940-691-0224 · Fax 940-691-0225
Mailing address
711 E Goliad AveSte 256a
Crockett, TX 75835-2140
Phone 936-544-3763 · Fax 936-544-7894
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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