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Organization
VARDEMAN EYE ASSOCIATES PLLC
Active
Organization
VARDEMAN EYE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE VARDEMAN OD (DOCTOR OF OPTOMETERY/OWNER)
(936) 560-2020
Entity
Organization
Contact information
Practice address
3915 NE STALLINGS DR, NACOGDOCHES, TX 75965-2169
(936) 560-2020
(936) 564-9696
Mailing address
3915 NE STALLINGS DR, NACOGDOCHES, TX 75965-2169
(936) 560-2020
(936) 564-9696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166958908
INDIVIDUAL NPI
TX
Enumeration date
12/27/2017
Last updated
06/16/2018
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