Drew Doran Douglas in Tyler - Optometrist
Drew Doran Douglas - NPI 1548345663
Drew Doran Douglas is a Optometrist in Tyler, Texas. Drew Doran Douglas practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Drew Doran Douglas is 1548345663. The last update date is 2007-07-09.
Drew Doran Douglas's current location address is 4524 S Broadway Ave, Tyler, Texas. You can contact this provider via phone number 9035811530 and fax number 9035348629. The mailing address for Drew Doran Douglas is 4524 S Broadway Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Drew Doran Douglas |
|---|---|
| Address | 4524 S Broadway Ave, Tyler, Texas |
| Phone Number | 9035811530 |
| Fax Number | 9035348629 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1548345663 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4524 S Broadway Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757031305 |
| Phone Number | 9035811530 |
| Fax Number | 9035348629 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 5114TG |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25286 | TX | OPTICARE CHIPS |
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What is the unique 10-digit identification code issued to Drew Doran Douglas by the Centers for Medicare & Medicaid Services?
The Drew Doran Douglas has been assigned the NPI (National Provider Identifier) 1548345663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Drew Doran Douglas's physical address?
The Drew Doran Douglas is physically located at 4524 S Broadway Ave, in the city of Tyler, TX, with the postal code 757031305.
What is Drew Doran Douglas's area of expertise and its corresponding taxonomy classification?
The Drew Doran Douglas's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1548345663 assigned to Drew Doran Douglas?
The Drew Doran Douglas was issued its 1548345663 on 2006-10-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Drew Doran Douglas most recently updated?
The details pertaining to the Drew Doran Douglas, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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