Organization Name: | ELLIS COUNTY OPTICAL, INC. |
NPI Number: | 1033398433 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAIGE A POLLARD (DR.) |
Mailing Address: | 101 Ymca Dr Waxahachie |
State: | TX US |
Postal Code: | 751655124 |
Phone Number: | 9729379757 |
Fax Number: | 9729382966 |
NPI Enumeration Date: | 11/01/2007 |
NPI Last Update Date: | 11/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | H-1191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |