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Organization
MEXIA VISION SERVICES PA
Active
Organization
MEXIA VISION SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY PITTMAN (OFFICE MANAGER)
(254) 562-3883
Entity
Organization
Contact information
Practice address
501 E MILAM ST, MEXIA, TX 76667-2331
(254) 562-3883
(254) 562-2341
Mailing address
PO BOX 590, MEXIA, TX 76667-0590
(254) 562-3883
(254) 562-2341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071FC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/08/2006
Last updated
01/02/2024
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