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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770694549 NPPES
Texas Other 83043E BCBS PROVIDER #
Texas Other 83212V BCBS PROVIDER #
Texas Other 00E11Z BCBS PROVIDER #

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