Organization
LIBERTY HILL EYE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R. HANNIGAN O.D. (OWNER/THERAPEUTIC OPTOMETRIST)
(512) 515-5100
Entity
Organization
Contact information
Practice address
14370 W. HWY. 29, SUITE 8, LIBERTY HILL, TX 78642
(512) 515-5100
(512) 515-0500
Mailing address
14370 W. HWY. 29, SUITE 8, LIBERTY HILL, TX 78642
(512) 515-5100
(512) 515-0500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1725269-01
—
TX
Enumeration date
09/30/2005
Last updated
08/13/2008
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