Organization
GAINESVILLE EYE CARE
Active
Other names
Texas State Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW WARREN O.D. (OD / OWNER)
(940) 218-8180
Entity
Organization
Contact information
Practice address
311 E CALIFORNIA ST, GAINESVILLE, TX 76240-4036
(940) 668-7254
Mailing address
9499 CULP BRANCH RD, SANGER, TX 76266-6975
(940) 218-8180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7165TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196450402
—
TX
05
—
196451202
—
TX
01
—
7109TG
STATE LICENSE
TX
01
—
7165TG
STATE LICENSE
TX
01
—
8F6739
MEDICARE #
—
01
—
8F7640
MEDICARE #
—
Enumeration date
07/20/2016
Last updated
07/20/2016
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