Wendy L Broussard in Beaumont - Optometrist
Wendy L Broussard - NPI 1124210547
Wendy L Broussard is a Optometrist in Beaumont, Texas. Wendy L Broussard practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Wendy L Broussard is 1124210547. The last update date is 2021-04-28.
Wendy L Broussard's current location address is 138 Gateway St, Beaumont, Texas. You can contact this provider via phone number 4098352041 and fax number 4098384518. The mailing address for Wendy L Broussard is 138 Gateway St, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy L Broussard |
|---|---|
| Address | 138 Gateway St, Beaumont, Texas |
| Phone Number | 4098352041 |
| Fax Number | 4098384518 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1124210547 |
|---|---|
| Provider Enumeration Date | 2007-08-10 |
| Last Updated Date | 2021-04-28 |
Provider Mailing Address Detail
| Address | 138 Gateway St |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777013706 |
| Phone Number | 4098352041 |
| Fax Number | 4098384518 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 05101TG |
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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 Wendy L Broussard's 1124210547?
The Wendy L Broussard's NPI (National Provider Identifier) Number is 1124210547. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Wendy L Broussard is located?
The Wendy L Broussard is situated at the following address: 138 Gateway St, Beaumont, TX, 777013706.
What is Wendy L Broussard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wendy L Broussard is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did Wendy L Broussard receive its 1124210547 assignment from the Centers for Medicare & Medicaid Services?
The Wendy L Broussard was assigned its 1124210547 on 2007-08-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Wendy L Broussard's information last updated?
The Wendy L Broussard's information was last updated on 2021-04-28.
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