Provider Demographics
NPI:1134316623
Name:CARY S. LABBE, O.D., INC.
Entity Type:Organization
Organization Name:CARY S. LABBE, O.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:LABBE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:940-325-7700
Mailing Address - Street 1:1100 SE 1ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-5568
Mailing Address - Country:US
Mailing Address - Phone:940-325-7700
Mailing Address - Fax:940-325-0079
Practice Address - Street 1:1100 SE 1ST ST STE A
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-5568
Practice Address - Country:US
Practice Address - Phone:940-325-7700
Practice Address - Fax:940-325-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159350101Medicaid
TX0339830001Medicare NSC
TX00630UMedicare PIN