Individual
DR. LAURA PELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
541 E SANDY LAKE RD, COPPELL, TX 75019-3090
(972) 393-3937
(972) 304-4422
Mailing address
541 E SANDY LAKE RD, COPPELL, TX 75019-3090
(972) 393-3937
(972) 304-4422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3083T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821379991
GROUP NPI
TX
01
—
81442Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/27/2006
Last updated
09/29/2011
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