Individual
MR. CHARLIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABO NCLE
Contact information
Practice address
509 23RD ST, GALVESTON, TX 77550-1905
(409) 762-2433
(409) 762-2438
Mailing address
509 23RD ST, GALVESTON, TX 77550-1905
(409) 762-2433
(409) 762-2438
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
37033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918041
—
TX
01
—
OP1720
EYEMEDVISIONCARE
TX
01
—
PCOPTICS@AOL.COM
COMPBENEFITS
TX
01
—
PO11598
SPECTERA
TX
Enumeration date
10/11/2006
Last updated
07/09/2007
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