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Organization

GEORGE E. ORM, III, OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE ORM III OD (OWNER)
(972) 335-1395
Entity
Organization

Contact information

Practice address
2288 VALLEY VIEW MALL, DALLAS, TX 75240-5221
(972) 233-4113
Mailing address
2288 VALLEY VIEW MALL, DALLAS, TX 75240-5282
(972) 233-4113

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00E94L
BCBS
TX
Enumeration date
01/17/2007
Last updated
03/07/2008
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