Individual
DR. MACKENZIE WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2921 I-40 W, SUITE 300, AMARILLO, TX 79109-1616
(806) 322-3937
(806) 322-2220
Mailing address
2921 I-40 W, SUITE 300, AMARILLO, TX 79109-1616
(806) 322-3937
(806) 322-2220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7589T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB165318
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
07/12/2010
Last updated
12/09/2025
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