Organization
J. CARL NORRIS, OD PC
Active
Other names
Mineola Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY MARK HAWARI OD (PRESIDENT)
(903) 569-5432
Entity
Organization
Contact information
Practice address
1238 N PACIFIC ST, MINEOLA, TX 75773-1002
(903) 569-5432
(903) 569-2994
Mailing address
PO BOX 547, MINEOLA, TX 75773-0547
(903) 569-5432
(903) 569-2994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4091TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D53C
BLUE CROSS BLUE SHIELD
TX
01
—
CG7745
RAILROAD MEDICARE
TX
Enumeration date
03/05/2007
Last updated
08/10/2022
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