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TEXAS MIDWEST OPTICAL LLC NPI 1245416825


NPI Information

NPI: 1245416825
Provider Name: TEXAS MIDWEST OPTICAL LLC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1043 N JUDGE ELY BLVD
ABILENE, TX
ZIP 79601
Phone: (256) 700-5003
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TEXAS MIDWEST OPTICAL LLC is an eyewear supplier in Abilene, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TEXAS MIDWEST OPTICAL LLC NPI is 1245416825. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1043 N JUDGE ELY BLVD
ABILENE, TX
ZIP 79601-853
Phone: (256) 700-5003
Fax: (325) 676-0593

The provider's authorized official is Sharla Michelle Breeding .
The authorized official title is Optical Manager and has the following contact phone number (325) 670-0500.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 4/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianNo
2332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10664849-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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