Organization
SULPHUR SPRINGS VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L BRYANT O.D, PA (PARTNER)
(903) 439-2020
Entity
Organization
Contact information
Practice address
1100 MOCKINGBIRD LN, SULPHUR SPRINGS, TX 75482-4853
(903) 439-2020
Mailing address
1100 MOCKINGBIRD LN, SULPHUR SPRINGS, TX 75482-4853
(903) 439-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00058FA
BLUECROSS BLUESHIELD
TX
05
—
161149303
—
TX
Enumeration date
08/31/2006
Last updated
02/19/2013
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