Organization
DENTON OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY ANTHONY WIEBELHAUS O.D. (OWNER)
(940) 484-8857
Entity
Organization
Contact information
Practice address
2430 S I-35 E, SUITE 156, DENTON, TX 76205-4986
(940) 484-8857
(940) 387-1998
Mailing address
1309 LYNHURST LN, DENTON, TX 76205-8079
(940) 484-8857
(940) 387-1998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4002T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192437-01
—
TX
Enumeration date
10/28/2006
Last updated
04/21/2010
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