Individual
MR. FRED H SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 N BANKS ST, PAMPA, TX 79065-4106
(806) 665-0771
(806) 665-3511
Mailing address
PO BOX 2237, PAMPA, TX 79066-2237
(806) 665-0771
(806) 665-3511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1972TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4628134
AETNA
TX
01
—
80326E
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/02/2006
Last updated
01/18/2008
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