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1406 Hailey St, Sweetwater, TX 79556-2508 | |
(325) 235-2624 | |
(325) 235-8326 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1406 Hailey St, Sweetwater, 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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1720268287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 6473TG (Texas) | Primary |
Provider Name | Cody Joe Wilkinson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326020322 PECOS PAC ID: 7911801139 Enrollment ID: I20031120000417 |
Mailing Address | Practice Location Address |
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1406 Hailey St, Sweetwater, TX 79556-2508 Ph: (325) 235-2624 | 1406 Hailey St, Sweetwater, TX 79556-2508 Ph: (325) 235-2624 |
Dr. Cody Joe Wilkinson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1406 Hailey St, Sweetwater, TX 79556 Phone: 325-235-2624 Fax: 325-235-8326 |