Provider Demographics
NPI:1760746606
Name:PRAPTA, SHAWN MECKIEL (OD)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:MECKIEL
Last Name:PRAPTA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1650 HIGHWAY 287 N
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-8852
Mailing Address - Country:US
Mailing Address - Phone:682-518-1177
Mailing Address - Fax:682-518-8889
Practice Address - Street 1:121 W DEBBIE LN
Practice Address - Street 2:SUITE 117
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8941
Practice Address - Country:US
Practice Address - Phone:682-518-1177
Practice Address - Fax:682-518-8889
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7965152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist