Provider Demographics
NPI:1821481532
Name:WEBB OPTOMETRY PLLC
Entity Type:Organization
Organization Name:WEBB OPTOMETRY PLLC
Other - Org Name:DRS WEBB & WEBB OPTOMETRISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:806-293-1376
Mailing Address - Street 1:601 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-6219
Mailing Address - Country:US
Mailing Address - Phone:806-293-1376
Mailing Address - Fax:806-291-8700
Practice Address - Street 1:601 W 7TH ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-6219
Practice Address - Country:US
Practice Address - Phone:806-293-1376
Practice Address - Fax:806-291-8700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6267TG261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6331980001OtherMEDICARE DMERC PTAN
TX613994OtherMEDICARE PTAN
TX613994OtherMEDICARE PTAN