Organization
WEST TEXAS EYE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR D BROOKFIELD (CHIEF FINANCIAL OFFICER)
(602) 598-7065
Entity
Organization
Contact information
Practice address
12210 QUAKER AVE, LUBBOCK, TX 79424-7789
(806) 412-5165
(806) 792-6092
Mailing address
63 S ROCKFORD DR STE 220, TEMPE, AZ 85288-6226
(602) 598-7488
(602) 231-6215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
K3276
TX
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174103503
—
TX
01
—
DG8220
RAILROAD MEDICARE
—
Enumeration date
08/30/2006
Last updated
04/29/2024
Update your record
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