Organization
LAURA A PELS
Active
Other names
COPPELL VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA PELS O.D. (OWNER)
(972) 393-3937
Entity
Organization
Contact information
Practice address
541 E SANDY LAKE RD, COPPELL, TX 75019-3090
(972) 393-3937
(972) 304-4422
Mailing address
541 E SANDY LAKE RD, COPPELL, TX 75019-3090
(972) 393-3937
(972) 304-4422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3083T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366533853
INDIVIDUAL NPI
TX
01
—
1639263668
INDIVIDUAL NPI
—
01
—
81442
BLUECROSS BLUE SHIELD OF TEXAS
—
01
—
81443
BLUECROSS BLUESHIELD OF TEXAS
—
Enumeration date
09/02/2011
Last updated
09/29/2011
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