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Organization
PRIMARY CARE AND PARASURGICAL OPHTHALMIC SERVICES, INC.
Active
Organization
PRIMARY CARE AND PARASURGICAL OPHTHALMIC SERVICES, INC.
Active
Other names
Permian Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CANON (PROVIDER)
(432) 686-0760
Entity
Organization
Contact information
Practice address
3600 BILLY HEXT RD., STE 102, ODESSA, TX 79765-8992
(432) 242-5985
(432) 242-5985
Mailing address
2301 BOYD AVE, MIDLAND, TX 79705-8502
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3765TG
TX
Other
Enumeration date
10/15/2009
Last updated
11/25/2014
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