| |
2311 S Jefferson Ave, Suite 20/20, Mount Pleasant, TX 75455-6011 | |
(903) 577-8946 | |
(903) 577-8951 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2311 S Jefferson Ave, Mount Pleasant, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972731081 | NPI | - | NPPES |
019181901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4731TG (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
2311 S Jefferson Ave, Suite 20/20, Mount Pleasant, TX 75455-6011 Ph: (903) 577-8946 | 2311 S Jefferson Ave, Suite 20/20, Mount Pleasant, TX 75455-6011 Ph: (903) 577-8946 |
Dr. Larry W. Decker, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2311 S Jefferson Ave, Suite 20/20, Mount Pleasant, TX 75455 Phone: 903-577-8946 Fax: 903-577-8951 |