Provider Demographics
NPI:1356357164
Name:PATTERSON, DENNIS GENE (OD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:GENE
Last Name:PATTERSON
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 1:4180 TOWN CTR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-2567
Mailing Address - Country:US
Mailing Address - Phone:903-868-2020
Mailing Address - Fax:
Practice Address - Street 1:4180 TOWN CTR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-2567
Practice Address - Country:US
Practice Address - Phone:903-868-2020
Practice Address - Fax:903-813-1426
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4133TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140975701Medicaid
83190EMedicare ID - Type Unspecified