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Organization
WILKEN EYE ASSOCIATES, P.A.
Active
Organization
WILKEN EYE ASSOCIATES, P.A.
Active
Other names
Wilken Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET E WILKEN O.D. (VICE PRESIDENT)
(972) 410-1313
Entity
Organization
Contact information
Practice address
651 N DENTON TAP RD, SUITE 150, COPPELL, TX 75019-2007
(972) 410-1313
(972) 899-0662
Mailing address
651 N DENTON TAP RD, SUITE 150, COPPELL, TX 75019-2007
(972) 410-1313
(972) 899-0662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008OFF
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/07/2007
Last updated
02/11/2008
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