Provider Demographics
NPI:1033427968
Name:WRIGHT, LANCE E (OD)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:E
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 970
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:TX
Mailing Address - Zip Code:79360-0970
Mailing Address - Country:US
Mailing Address - Phone:432-758-3229
Mailing Address - Fax:432-758-6542
Practice Address - Street 1:707 HOBBS HWY
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:TX
Practice Address - Zip Code:79360-3401
Practice Address - Country:US
Practice Address - Phone:432-758-3229
Practice Address - Fax:432-758-6542
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7651TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB120430Medicare PIN
TX0616030002Medicare NSC