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Organization
MT PLEASANT EYE CARE CENTER PA
Active
Organization
MT PLEASANT EYE CARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN K NICHOLS OD (OWNER)
(903) 572-4718
Entity
Organization
Contact information
Practice address
2001 W FERGUSON RD, SUITE 2020, MT PLEASANT, TX 75455-2925
(903) 572-1991
(903) 572-4718
Mailing address
2001 W FERGUSON RD, SUITE 2020, MT PLEASANT, TX 75455-2925
(903) 572-1991
(903) 572-4718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199333901
—
TX
Enumeration date
09/08/2008
Last updated
06/29/2009
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