Organization
RAGSDALE & MARTIN OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W MARTIN (PRESIDENT)
(903) 593-8466
Entity
Organization
Contact information
Practice address
2740 S BROADWAY AVE, TYLER, TX 75701-5412
(903) 593-8466
Mailing address
2740 S BROADWAY AVE, TYLER, TX 75701-5412
(903) 593-8466
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
503851
BCBS
—
Enumeration date
01/09/2007
Last updated
02/04/2008
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