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Organization

DECKER VISION GROUP

Active
Other names
Dr. Larry W. Decker
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY W DECKER O.D. (OWNER)
(903) 577-8946
Entity
Organization

Contact information

Practice address
2311 S JEFFERSON AVE, SUITE 20/20, MOUNT PLEASANT, TX 75455-6011
(903) 577-8946
(903) 577-8951
Mailing address
2311 S JEFFERSON AVE, SUITE 20/20, MOUNT PLEASANT, TX 75455-6011
(903) 577-8946
(903) 577-8951

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4731TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019181901
TX
Enumeration date
06/26/2009
Last updated
02/17/2010
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