Provider Demographics
NPI:1336287382
Name:BYARS, WILLIAM GLEN (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GLEN
Last Name:BYARS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:5521 28TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-3303
Mailing Address - Country:US
Mailing Address - Phone:806-792-9907
Mailing Address - Fax:806-798-9944
Practice Address - Street 1:5201 68TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1508
Practice Address - Country:US
Practice Address - Phone:806-798-9966
Practice Address - Fax:806-798-9944
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1772152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist