Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Active
Other names
Texas Tech Eye Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MAGERS (CEO)
(806) 743-1830
Entity
Organization
Contact information
Practice address
4004 82ND ST BLDG 200, LUBBOCK, TX 79423-1900
(806) 743-7244
(806) 798-3391
Mailing address
PO BOX 27476, SALT LAKE CITY, UT 84127-0476
(806) 743-4263
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD9207
RAILROAD MEDICARE
TX
Enumeration date
03/10/2011
Last updated
10/01/2019
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