Individual
DR. CAREY A PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1546 STACY RD, SUITE 100, ALLEN, TX 75002-8726
(214) 383-5400
(214) 383-5203
Mailing address
1546 STACY RD, SUITE 100, ALLEN, TX 75002-8726
(214) 383-5400
(214) 383-5203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06243TG
TX
152WC0802X
Corneal and Contact Management Optometrist
6243TG
TX
152WP0200X
Pediatric Optometrist
6243TG
TX
152WS0006X
Sports Vision Optometrist
6243TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11411072
CAQH
—
05
—
162828101
—
TX
Enumeration date
07/12/2005
Last updated
01/28/2014
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