| Michael Dean Dellis, OD | |
|
1400 East Franklin Street, Hillsboro, TX 76645-0779 | |
| (254) 582-2351 | |
| (254) 582-7017 |
| Full Name | Michael Dean Dellis |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1400 East Franklin Street, Hillsboro, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417984840 | NPI | - | NPPES |
| 410019703 | Other | TX | RR MEDICARE |
| 000000E940 | Other | TX | BCBS |
| 8F21428 | Other | TX | TRAILBLAZER MEDICARE INDIVIDUAL PTAN |
| 000000E94D | Other | TX | BCBS |
| 0934804-01 | Medicaid | TX | |
| 093480401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2348TG (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Dean Dellis, OD Po Box 779, Hillsboro, TX 76645-0779 Ph: (254) 582-2351 | Michael Dean Dellis, OD 1400 East Franklin Street, Hillsboro, TX 76645-0779 Ph: (254) 582-2351 |
Michael Dellis, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Franklin St, Hillsboro, TX 76645 Phone: 254-582-2351 Fax: 254-582-7017 |