Organization
SCOTT & WHITE CLINIC
Active
Parent organization
SCOTT & WHITE OPTICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOTT & WHITE OPTICAL
Authorized official
ALICIA CANTU (SYSTEM DIRECTOR, CBS)
(254) 215-9719
Entity
Organization
Contact information
Practice address
1815 S 31ST ST, TEMPLE, TX 76504-6728
(254) 724-2020
(254) 724-9571
Mailing address
PO BOX 848496, DALLAS, TX 75284-8496
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598088-01
—
TX
01
—
4356110003
RR/MEDICARE
TX
Enumeration date
04/10/2006
Last updated
08/01/2024
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