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770 S Highway 377 Ste 201, Pilot Point, TX 76258-4472 | |
(940) 248-9868 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 770 S Highway 377 Ste 201, Pilot Point, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497326490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Lisa Marie Smith |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013531060 PECOS PAC ID: 5991199762 Enrollment ID: I20220222001958 |
Mailing Address | Practice Location Address |
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770 S Highway 377 Ste 201, Pilot Point, TX 76258-4472 Ph: (940) 248-9868 | 770 S Highway 377 Ste 201, Pilot Point, TX 76258-4472 Ph: (940) 248-9868 |