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Organization
MICHAEL DELLIS, O.D., P.C.
Active
Organization
MICHAEL DELLIS, O.D., P.C.
Active
Other names
Dr. Michael Dellis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DEAN DELLIS O.D. (PRESIDENT)
(254) 582-2351
Entity
Organization
Contact information
Practice address
1400 E FRANKLIN ST, HILLSBORO, TX 76645-2676
(254) 582-2351
(254) 582-7017
Mailing address
PO BOX 779, HILLSBORO, TX 76645-0779
(254) 582-2351
(254) 582-7017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2348T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E94D
BLUE CROSS BLUE SHIELD
—
05
—
093480401
—
TX
01
—
0A3869
MEDICARE GROUP PTAN
TX
01
—
410019703
RAILROAD MEDICARE
—
Enumeration date
07/14/2008
Last updated
06/21/2012
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