Provider Demographics
NPI:1619543659
Name:MICHAEL E FEESER OD PLLC
Entity Type:Organization
Organization Name:MICHAEL E FEESER OD PLLC
Other - Org Name:TOTAL VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:FEESER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:432-362-2716
Mailing Address - Street 1:4101 E 42ND ST STE 106
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-7245
Mailing Address - Country:US
Mailing Address - Phone:432-362-2716
Mailing Address - Fax:432-219-2969
Practice Address - Street 1:4101 E 42ND ST STE 106
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-7245
Practice Address - Country:US
Practice Address - Phone:443-975-5004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty