Organization
LEVELLAND EYE AND VISION PC
Active
Other names
Drs. Payne and Neal, Optometrists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE W. PAYNE JR. O.D. (PRESIDENT)
(806) 894-6330
Entity
Organization
Contact information
Practice address
608 AUSTIN ST, LEVELLAND, TX 79336-4616
(806) 894-6330
(806) 894-2443
Mailing address
608 AUSTIN ST, LEVELLAND, TX 79336-4616
(806) 894-6330
(806) 894-2443
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1969TG
TX
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029QT
BLUE CROSS BLUE SHIELD OF TEXAS
TX
05
—
193780701
—
TX
Enumeration date
01/05/2008
Last updated
07/21/2015
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