Organization
TEXAS MIDWEST OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLA MICHELLE BREEDING (OPTICAL MANAGER)
(325) 670-0500
Entity
Organization
Contact information
Practice address
1043 N JUDGE ELY BLVD, ABILENE, TX 79601-3853
(256) 700-5003
(325) 676-0593
Mailing address
1043 N JUDGE ELY BLVD, ABILENE, TX 79601-3853
(325) 670-0500
(325) 676-0593
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0664849-01
—
TX
Enumeration date
01/14/2008
Last updated
04/11/2023
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