Beaumont Retina Consultant Pa in Beaumont - Ophthalmology
Beaumont Retina Consultant Pa - NPI 1114108677
Beaumont Retina Consultant Pa is a Ophthalmology in Beaumont, Texas. Beaumont Retina Consultant Pa practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Beaumont Retina Consultant Pa is 1114108677. The last update date is 2008-06-26.
Beaumont Retina Consultant Pa's current location address is 740 Hospital Dr, Beaumont, Texas. You can contact this provider via phone number 4098328883 and fax number 4098335755. The mailing address for Beaumont Retina Consultant Pa is 740 Hospital Dr, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beaumont Retina Consultant Pa |
|---|---|
| Address | 740 Hospital Dr, Beaumont, Texas |
| Phone Number | 4098328883 |
| Fax Number | 4098335755 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Avery Douglas Graham |
| Credentials | MD |
| Telephone Number | 4098328883 |
NPI Number Detail
| NPI Number | 1114108677 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 740 Hospital Dr |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777014664 |
| Phone Number | 4098328883 |
| Fax Number | 4098335755 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 176154601 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Beaumont Retina Consultant Pa by the Centers for Medicare & Medicaid Services?
The Beaumont Retina Consultant Pa has been issued the NPI (National Provider Identifier) 1114108677, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Beaumont Retina Consultant Pa is physically located?
The Beaumont Retina Consultant Pa is situated at the following address: 740 Hospital Dr, Beaumont, TX 777014664.
What is Beaumont Retina Consultant Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Beaumont Retina Consultant Pa is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114108677 to Beaumont Retina Consultant Pa?
The Centers for Medicare & Medicaid Services originally issued the 1114108677 to Beaumont Retina Consultant Pa on 2007-11-26.
When was the information regarding Beaumont Retina Consultant Pa most recently updated?
The details pertaining to the Beaumont Retina Consultant Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-06-26.
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