Organization · Type 2 NPI
Trussell Thane Od
Eyewear Supplier · Stamford, TX
NPI number
1427228964
Active
Practice location
1501 Columbia St
Stamford, TX 79553-6832
Fax (325) 773-2526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 4720TG (TX) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
About NPI 1427228964
Trussell Thane Od's National Provider Identifier is 1427228964, issued on Mar 11, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Stamford, TX. The record was last updated on Mar 11, 2008.