Organization
BRYAN CAVE, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BRYAN CAVE O.D. (OWNER)
(325) 573-5571
Entity
Organization
Contact information
Practice address
5305 TRINITY BLVD, SUITE D, SNYDER, TX 79549-6164
(325) 573-5571
(325) 573-6868
Mailing address
5305 TRINITY BLVD, SUITE D, SNYDER, TX 79549-6164
(325) 573-5571
(325) 573-6868
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3325T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E50A
BLUE CROSS BLUE SHIELD TX
TX
05
—
093269120
—
TX
01
—
110055102
FIRST CARE
TX
01
—
11390
OPTICARE
TX
01
—
540010583
RAILROAD MEDICARE
TX
Enumeration date
04/11/2007
Last updated
01/02/2009
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