Provider Demographics
NPI:1902406721
Name:BRICE, WILLIAM CAREY (OD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CAREY
Last Name:BRICE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 GOLDEN RD
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-8355
Mailing Address - Country:US
Mailing Address - Phone:903-526-0444
Mailing Address - Fax:903-526-0444
Practice Address - Street 1:1240 S PALESTINE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-3619
Practice Address - Country:US
Practice Address - Phone:903-675-8111
Practice Address - Fax:903-967-3888
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10101TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist