Wike, Douglas M
Wike, Douglas M is an sole proprietor health care provider with primary practice located at 2023 W Mcdermott Dr Ste 290 , Allen TX 75013-4678. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wike, Douglas M can be contacted via phone (972) 649-4441.Contact Information
Primary practice address
2023 W Mcdermott Dr Ste 290
Allen TX 75013-4678
Phone: (972) 649-4441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5285TG | Texas |
Profile Details
| NPI number | 1881883338 |
|---|---|
| LBN Legal business name | Wike, Douglas M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2007 |
| Last updated | Dec 7th, 2023 - about 2 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 | 1881883338 | NPPES |
| Texas | Other | P00274868 | MEDICARE RAILROAD PTAN |
| Texas | MEDICAID | 019228802 | MEDICARE RAILROAD PTAN |
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