| Trinity Optical - Mineola | |
|
908 N Pacific St Mineola TX 75773-1836 | |
| (903) 569-2244 | |
| Not Available |
| Full Name | Trinity Optical - Mineola |
|---|---|
| Speciality | Clinic/center |
| Location | 908 N Pacific St, Mineola, Texas |
| Authorized Official Name and Position | Elias David Fajardo (PROVIDER ENROLLMENT MANAGER) |
| Authorized Official Contact | 9035101113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Optical - Mineola 908 N Pacific St Mineola TX 75773-1836 Ph: (903) 569-2244 | Trinity Optical - Mineola 908 N Pacific St Mineola TX 75773-1836 Ph: (903) 569-2244 |
| NPI Number | 1902385487 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902385487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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