| |
608 Austin St, Levelland, TX 79336-4616 | |
(806) 894-6330 | |
(806) 894-2443 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 608 Austin St, Levelland, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396876967 | NPI | - | NPPES |
193780701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
608 Austin St, Levelland, TX 79336-4616 Ph: (806) 894-6330 | 608 Austin St, Levelland, TX 79336-4616 Ph: (806) 894-6330 |