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Organization

CORRIDOR EYE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL L DEGENAER OD (PRESIDENT)
(903) 785-1500
Entity
Organization

Contact information

Practice address
3855 LAMAR AVE, SUITE A, PARIS, TX 75462-5210
(903) 785-1500
(903) 737-8912
Mailing address
1600 HERITAGE DR, #1524, MCKINNEY, TX 75069-3481
(903) 785-1500
(903) 737-8912

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4630T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0066FD
BCBS GROUP PROVIDER NUMBE
TX
Enumeration date
05/10/2007
Last updated
08/22/2020
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