Organization
CORSICANNA EYE CARE, P.A.
Active
Other names
First Eye Care Corsicanna
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DENT BALLARD O.D. (OWNER PRESIDENT)
(972) 960-2020
Entity
Organization
Contact information
Practice address
400 N 15TH ST, CORSICANA, TX 75110-4514
(903) 872-2561
(903) 872-5273
Mailing address
400 N 15TH ST, CORSICANA, TX 75110-4514
(903) 872-2561
(903) 872-5273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3442TG
TX
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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