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Individual
MR. MICHAEL D CONTE
Active
Individual
MR. MICHAEL D CONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03120T
TX
152WV0400X
Vision Therapy Optometrist
03120T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851580351
MEDICARE UNSPECIFIED
TX
01
—
81282Q
BLUECROSS BLUESHIELD
TX
Enumeration date
06/10/2005
Last updated
07/28/2009
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