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Organization
SUBIA EYE CENTER PLLC
Active
Organization
SUBIA EYE CENTER PLLC
Active
Other names
Permian Basin EyeCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL D SUBIA OD (OWNER)
(432) 333-3937
Entity
Organization
Contact information
Practice address
2260 LINDA AVE, STE. 201, ODESSA, TX 79763-2663
(432) 333-3937
(432) 337-3937
Mailing address
2260 LINDA AVE, STE. 201, ODESSA, TX 79763-2663
(432) 333-3937
(432) 337-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6260TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00297H
MEDICARE
TX
01
—
0079FH
BLUE CROSS BLUE SHIELD
TX
05
—
154996601
—
TX
01
—
81716Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/03/2008
Last updated
01/28/2011
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