| |
1018 N 1st St, Lamesa, TX 79331-5306 | |
(806) 747-1635 | |
(806) 747-5499 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1018 N 1st St, Lamesa, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821208653 | NPI | - | NPPES |
093010901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1018 N 1st St, Lamesa, TX 79331-5306 Ph: (806) 872-8440 | 1018 N 1st St, Lamesa, TX 79331-5306 Ph: (806) 747-1635 |