Organization
BEN COMBS OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI COMBS (OWNER)
(817) 599-8581
Entity
Organization
Contact information
Practice address
808 S MAIN ST, WEATHERFORD, TX 76086-5365
(817) 599-8581
(817) 596-7774
Mailing address
808 S MAIN ST, WEATHERFORD, TX 76086-5365
(817) 599-8581
(817) 596-7774
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019754301
—
TX
01
—
507126
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/27/2008
Last updated
03/27/2008
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