Eley, Douglas Richard
Eley, Douglas Richard is an individual health care provider with primary practice located at 9009 Gateway Blvd S , El Paso TX 79904-1215. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Eley, Douglas Richard can be contacted via phone (915) 751-7760.Contact Information
Primary practice address
9009 Gateway Blvd S
El Paso TX 79904-1215
Phone: (915) 751-7760
Fax: (915) 751-2376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3778TG | Texas |
Profile Details
| NPI number | 1316989031 |
|---|---|
| LBN Legal business name | Eley, Douglas Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Dec 3rd, 2007 - about 17 years ago |
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 | 1316989031 | NPPES |
| Texas | MEDICAID | 00E4400 |
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