Doctor Name: | MR. MARTIN R SEILER |
NPI Number: | 1053456178 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OPTICIAN |
License Number: | |
Business Practice Address: | 155 Se Loop 338 Suite 300 Odessa, TX - 797629703 |
Business Phone Number: | 4323675116 |
Business Fax Number: | 4325505492 |
Mailing Address: | 155 Se Loop 338, Suite 300 ODESSA |
State: | TX |
Postal Code: | 797629703 |
Phone Number: | 4323675116 |
Fax Number: | 4325505492 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 01/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |