Organization
JEFF WERTZ
Active
Other names
Eyewear Outlet
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WAYNE WERTZ (OWNER)
(806) 296-7175
Entity
Organization
Contact information
Practice address
1001 N I-27 STE 206, PLAINVIEW, TX 79072-3903
(806) 296-7175
(806) 296-0633
Mailing address
1001 N I-27 STE 206, PLAINVIEW, TX 79072-3903
(806) 296-7175
(806) 296-0633
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0662777-03
—
TX
Enumeration date
02/20/2008
Last updated
06/25/2008
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