Organization
MARK LANIER OD PC
Active
Other names
Nacogdoches Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R LANIER OD (OWNER)
(936) 564-7661
Entity
Organization
Contact information
Practice address
3208 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2633
(936) 564-7661
(936) 564-6622
Mailing address
PO BOX 632600, NACOGDOCHES, TX 75963-2600
(936) 564-7661
(936) 564-6622
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03357TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000099FA
BCBS
TX
01
—
0228470001
MEDICARE DME JURISDICTION C
TX
05
—
164994901
—
TX
01
—
DA0550
RAILROAD MEDICARE
TX
Enumeration date
03/13/2007
Last updated
12/03/2008
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