Individual
LAURIE MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
503 E COURT ST, SEGUIN, TX 78155-5711
(830) 379-5686
Mailing address
503 E COURT ST, SEGUIN, TX 78155-5711
(830) 379-5686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5736T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146311901
—
TX
01
—
742732278
TAX ID
TX
01
—
BCBS
80346Q
TX
Enumeration date
08/31/2006
Last updated
05/17/2023
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