NPI 1790111037 · live from the CMS NPI Registry
Amarillo Ophthalmic Associates PA
Ophthalmology in Amarillo, TX. National Provider Identifier 1790111037, active.
NPI record
| NPI | 1790111037 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 3501 S Soncy Rd, Suite 100, Amarillo, TX 79119 |
| Practice phone | 806-352-3157 |
| Enumerated | September 18, 2013 |
| Last updated | September 18, 2013 |
| Authorized official | Daniel Good, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 4641-TG (TX) |
| Ophthalmology primary | 207W00000X | J8554 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.