Organization
MAIN ST. OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS K BAUGH OD (OWNER)
(903) 465-9214
Entity
Organization
Contact information
Practice address
307 W. MAIN ST., DENISON, TX 75020-3124
(903) 465-9214
(903) 463-6919
Mailing address
307 W. MAIN ST., DENISON, TX 75020-3124
(903) 465-9214
(903) 463-6919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3551T
TX
Other
Enumeration date
01/10/2008
Last updated
01/11/2008
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