Darrick Shawn Bub in La Porte - Optometrist
Darrick Shawn Bub - NPI 1619023678
Darrick Shawn Bub is a Optometrist in La Porte, Texas. Darrick Shawn Bub practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Darrick Shawn Bub is 1619023678. The last update date is 2014-04-18.
Darrick Shawn Bub's current location address is 10411 W Fairmont Pkwy, La Porte, Texas. You can contact this provider via phone number 2819916774 and fax number 8322019836. The mailing address for Darrick Shawn Bub is 10411 W Fairmont Pkwy, La Porte, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrick Shawn Bub |
|---|---|
| Address | 10411 W Fairmont Pkwy, La Porte, Texas |
| Phone Number | 2819916774 |
| Fax Number | 8322019836 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1619023678 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2014-04-18 |
Provider Mailing Address Detail
| Address | 10411 W Fairmont Pkwy |
|---|---|
| City | La Porte |
| State | Texas (TX) |
| Post Code | 775716014 |
| Phone Number | 2819916774 |
| Fax Number | 8322019836 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 5614TG |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique 10-digit identifier code issued to Darrick Shawn Bub by the Centers for Medicare & Medicaid Services?
The Darrick Shawn Bub has been assigned the NPI (National Provider Identifier) 1619023678 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Darrick Shawn Bub?
The Darrick Shawn Bub is physically situated at 10411 W Fairmont Pkwy, in the city of La Porte, state of TX, with the postal code 775716014.
What is the Darrick Shawn Bub's area of specialization and corresponding taxonomy classification?
The Darrick Shawn Bub's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
When did Darrick Shawn Bub receive its 1619023678 assignment?
The Darrick Shawn Bub was assigned its 1619023678 on 2007-01-25, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Darrick Shawn Bub most recently updated or revised?
The details related to Darrick Shawn Bub, including its address, specialty, and other relevant information, were last updated or revised on 2014-04-18.