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Organization
NIETLING OPTICAL
Active
Organization
NIETLING OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS MICHAEL NIETLING O.D. (PRESIDENT)
(903) 465-3815
Entity
Organization
Contact information
Practice address
417 W MAIN ST, DENISON, TX 75020-3126
(039) 465-3815
(903) 465-0718
Mailing address
417 W MAIN ST, DENISON, TX 75020-3126
(039) 465-3815
(903) 465-0718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2861TG
TX
Other
Enumeration date
10/09/2007
Last updated
04/01/2021
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