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Organization

EDWARD A. MAKLER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD A MAKLER O.D. (OWNER)
(972) 690-4466
Entity
Organization

Contact information

Practice address
1332 S PLANO RD, SUITE 112, RICHARDSON, TX 75081-5956
(972) 690-4466
Mailing address
1332 S PLANO RD, SUITE 112, RICHARDSON, TX 75081-5956
(972) 690-4466

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2138TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00E88B
MEDICARE ID - TYPE UNSPECIFIED
TX
05
112447101
TX
Enumeration date
05/08/2014
Last updated
05/08/2014
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