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NPI 1346066024

IndividualActive

Alice Black, OPTHALMIC ASSISTANT

NPI 1346066024 · Ophthalmic Assistant · Tyler, TX

Provider details

NPI number: 1346066024
Entity type: Individual
Primary specialty: Ophthalmic AssistantEye and Vision Services Providers
Credential: OPTHALMIC ASSISTANT
Sex: Female
Sole proprietor: No
License: 190956 (TX)

Practice location

428 Centennial Pkwy

Tyler, TX 75703-7166

Phone: (903) 266-5900

Fax: (903) 266-5914

More TX providers

Mailing address

428 Centennial Pkwy

Tyler, TX 75703-7166

Registry dates

Enumerated: 2024-11-27
Last updated: 2024-11-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alice Black, OPTHALMIC ASSISTANT — NPI 1346066024, Tyler, TX | NPI Central