Organization
CHARLES SHIDLOFSKY O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES STEVEN SHIDLOFSKY O.D. (OWNER)
(972) 312-0177
Entity
Organization
Contact information
Practice address
5934 W PARKER RD, STE. 500, PLANO, TX 75093-6409
(972) 312-0177
(972) 312-0134
Mailing address
5934 W PARKER RD, STE. 500, PLANO, TX 75093-6409
(972) 312-0177
(972) 312-0134
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3987TG
TX
152WC0802X
Corneal and Contact Management Optometrist
3987TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
3987TG
TX
152WP0200X
Pediatric Optometrist
3987TG
TX
152WS0006X
Sports Vision Optometrist
3987TG
TX
152WV0400X
Vision Therapy Optometrist
3987TG
TX
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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