Organization
COLLEGE STATION OPTICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. JAMES MAGGS O.D. (THERAPEUTIC OPTOMETRIST)
(979) 764-0009
Entity
Organization
Contact information
Practice address
2414 TEXAS AVE S STE A, COLLEGE STATION, TX 77840-4145
(979) 764-0009
(979) 764-7715
Mailing address
2414 TEXAS AVE S STE A, COLLEGE STATION, TX 77840-4145
(979) 764-0009
(979) 764-7715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02481T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E07F
BCBS OF TX
TX
Enumeration date
11/26/2007
Last updated
02/27/2008
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