Individual
CARRIE DIVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O. D.
Contact information
Practice address
1521 NORTH INTERSTATE HIGHWAY 35, BELLMEAD, TX 76705
(254) 867-1957
(254) 867-8445
Mailing address
267 BOLTON CIR, WEST, TX 76691-2400
(254) 867-1957
(254) 867-8445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5927 TG
TX
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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