Individual
DR. BRET EDWARD WILKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
755 N DENTON TAP RD, SUITE 100, COPPELL, TX 75019-2120
(972) 459-3300
(972) 459-0200
Mailing address
755 N DENTON TAP RD, SUITE 100, COPPELL, TX 75019-2120
(972) 459-3300
(972) 459-0200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5605TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81321Q
BCBS PROVIDER NO.
TX
Enumeration date
08/17/2006
Last updated
06/21/2024
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