Provider Demographics
NPI:1578147732
Name:MAGEE, RHEA PAIGE (OD)
Entity Type:Individual
Prefix:
First Name:RHEA
Middle Name:PAIGE
Last Name:MAGEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 208904
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-8904
Mailing Address - Country:US
Mailing Address - Phone:636-200-4393
Mailing Address - Fax:636-527-0766
Practice Address - Street 1:3140 LEGACY DR STE 500
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8340
Practice Address - Country:US
Practice Address - Phone:214-619-5580
Practice Address - Fax:214-619-5581
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALT-249-TA-C14152W00000X
TX10675T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist