Individual
DENNIS ROLAND MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
210 N LAKELINE BLVD, SUITE 100, CEDAR PARK, TX 78613-2081
(512) 249-0808
(512) 249-0828
Mailing address
210 N LAKELINE BLVD, SUITE 100, CEDAR PARK, TX 78613-2081
(512) 249-0808
(512) 249-0828
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5874TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8B6525
MEDICARE ID
TX
Enumeration date
11/13/2006
Last updated
04/05/2017
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