Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 7252 Fm 35, Royse Cty, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518222009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 7221TG (Texas) | Primary |
Provider Name | Michelle M Williams |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518121938 PECOS PAC ID: 8628132305 Enrollment ID: I20090123000456 |
Mailing Address | Practice Location Address |
---|---|
Po Box 845, Royse City, TX 75189-0845 Ph: (972) 636-3937 | 7252 Fm 35, Royse Cty, TX 75189 Ph: (972) 636-3937 |