Organization
BELTON EYE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON WILLIAM RUTKOWSKI (OD)
(512) 285-2015
Entity
Organization
Contact information
Practice address
2609 N MAIN ST, BELTON, TX 76513-1521
(254) 939-5261
(254) 939-6610
Mailing address
2609 N MAIN ST, BELTON, TX 76513-1521
(254) 939-5261
(254) 939-6610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2514TG
TX
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
TAXOMONY
—
05
—
412760701
—
TX
Enumeration date
11/29/2011
Last updated
04/26/2023
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