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Individual

ABBY BROTHERTON WICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1815 S 31ST ST, TEMPLE, TX 76504-6728
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9679T
TX
152W00000X
Optometrist
TUV008047
NY

Other

Enumeration date
07/18/2013
Last updated
10/07/2025
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