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Organization
TIM P KRET OD, PA
Active
Organization
TIM P KRET OD, PA
Active
Other names
1st Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
TIM P KRET OD (PRESIDENT)
(817) 237-7153
Entity
Organization
Contact information
Practice address
3963 BOAT CLUB ROAD, FORT WORTH, TX 76135
(817) 237-7153
(817) 237-7123
Mailing address
3963 BOAT CLUB ROAD, FORT WORTH, TX 76135
(817) 237-7153
(817) 237-7123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2288TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058FC
BCBS
TX
05
—
1696338
—
TX
Enumeration date
05/30/2005
Last updated
11/09/2011
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