| |
1400 E Franklin St, Hillsboro, TX 76645-2676 | |
(254) 582-2351 | |
(254) 582-7017 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1400 E Franklin St, Hillsboro, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225292741 | NPI | - | NPPES |
0A3869 | Other | TX | MEDICARE GROUP PTAN |
000E94D | Other | BLUE CROSS BLUE SHIELD | |
093480401 | Medicaid | TX | |
410019703 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2348T (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 779, Hillsboro, TX 76645-0779 Ph: (254) 582-2351 | 1400 E Franklin St, Hillsboro, TX 76645-2676 Ph: (254) 582-2351 |
Michael Dean Dellis, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 East Franklin Street, Hillsboro, TX 76645 Phone: 254-582-2351 Fax: 254-582-7017 |