Individual
DR. JEFFREY M NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2240 E HIGHWAY 114 STE 620, TROPHY CLUB, TX 76262-6728
(682) 831-0999
(682) 831-0998
Mailing address
2001 E HIGHWAY 114 STE 180, TROPHY CLUB, TX 76262-6656
(682) 831-0999
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
005588TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E54Z
BCBS
TX
05
—
0191165 01
—
TX
01
—
75-2935825
UNITED HEALTH CARE
TX
01
—
9435338
PHCS
TX
Enumeration date
11/29/2006
Last updated
09/23/2020
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