Correa-Dieguez, Jose Miguel
Correa-Dieguez, Jose Miguel is an sole proprietor health care provider with primary practice located at 2506 25Th Ave N Ste 3 , Texas City TX 77590-4666. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Correa-Dieguez, Jose Miguel can be contacted via phone (409) 945-5511.Contact Information
Primary practice address
2506 25Th Ave N Ste 3
Texas City TX 77590-4666
Phone: (409) 945-5511
Fax: (409) 945-5385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 8288-T | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8288-T | Texas |
Profile Details
| NPI number | 1700218930 |
|---|---|
| LBN Legal business name | Correa-Dieguez, Jose Miguel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2013 |
| Last updated | Dec 13th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700218930 | NPPES |
| Texas | MEDICAID | 326469ZMAC |
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