Texarkana Eye Associates

NPI #1023336849 in Idabel, Oklahoma

Provider Information

NPI Number: 1023336849
Entity Type: Organization
Organization Name: Texarkana Eye Associates
Subpart: Yes (part of a larger organization)
Parent Organization: TEXARKANA EYE ASSOCIATES
Primary Specialty: Optometrist
Enumeration Date: May 5, 2010
Last Updated: Jan 14, 2011

Practice Location

Address: 1425 E LINCOLN RD
Address 2: SUITE A-1
City: Idabel
State: Oklahoma
ZIP Code: 74745-7345
Phone: (580) 286-6000

Authorized Official

Name: DR. ELVIN W. FENTON, OD
Title: OWNER
Phone: (903) 838-0783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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