Basic Information
| Provider Information | |||||||||
| NPI: | 1770239618 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ONE HOUR OPTICAL MEDICAL SERVICES, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 E CAMPBELL RD STE 108 | ||||||||
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| City: | RICHARDSON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750811963 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6184629818 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3850 GRANT AVE STE 130 | ||||||||
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| City: | LOVELAND | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805388431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9706675511 | ||||||||
| FaxNumber: | 9702925213 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2022 | ||||||||
| LastUpdateDate: | 03/01/2022 | ||||||||
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| AuthorizedOfficialLastName: | ALLISON | ||||||||
| AuthorizedOfficialFirstName: | MELISSA | ||||||||
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| AuthorizedOfficialTitleorPosition: | SR. DIRECTOR OF MANAGED CARE | ||||||||
| AuthorizedOfficialTelephone: | 3147418183 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 03/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.