Provider Demographics
NPI:1447237474
Name:YORK, MARGIE A (OD)
Entity Type:Individual
Prefix:DR
First Name:MARGIE
Middle Name:A
Last Name:YORK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2020 W HIGHWAY 82
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-2051
Mailing Address - Country:US
Mailing Address - Phone:940-612-2020
Mailing Address - Fax:940-612-0083
Practice Address - Street 1:2020 W HIGHWAY 82
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-2051
Practice Address - Country:US
Practice Address - Phone:940-612-2020
Practice Address - Fax:940-612-0083
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2479TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80262QOtherBLUE CROSS BLUE SHIELD
TX80262QOtherBLUE CROSS BLUE SHIELD