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ODESSA ADVANCED EYE CARE PA NPI 1972721785


NPI Information

NPI: 1972721785
Provider Name: ODESSA ADVANCED EYE CARE, PA
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
4702 E UNIVERSITY BLVD
ODESSA, TX
ZIP 79762
Phone: (432) 550-4245
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ODESSA ADVANCED EYE CARE, PA is a corneal and contact management optometrist in Odessa, TX. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. ODESSA ADVANCED EYE CARE, PA NPI is 1972721785. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4702 E UNIVERSITY BLVD
ODESSA, TX
ZIP 79762-105
Phone: (432) 550-4245
Fax: (432) 550-4370

The provider's authorized official is Irma Urias .
The authorized official title is Insurance Specialist and has the following contact phone number (432) 550-4245.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/3/2010.


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
1152WC0802XOptometristCorneal and Contact Management3371TGTEXASYes

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
10924920001MEDICARE NSCTEXAS
2T15005MEDICARE UPINTEXAS

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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