Seymore, Ted Mack
Seymore, Ted Mack is an individual health care provider with primary practice located at 2311 Scurry St , Big Spring TX 79720-5552. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Seymore, Ted Mack can be contacted via phone (432) 267-4854.Contact Information
Primary practice address
2311 Scurry St
Big Spring TX 79720-5552
Phone: (432) 267-4854
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 5455TG | Texas |
Profile Details
NPI number | 1770694549 |
---|---|
LBN Legal business name | Seymore, Ted Mack |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1770694549 | NPPES |
Texas | Other | 83043E | BCBS PROVIDER # |
Texas | Other | 83212V | BCBS PROVIDER # |
Texas | Other | 00E11Z | BCBS PROVIDER # |
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