Provider Demographics
NPI:1457340705
Name:ALPAR, ANDREW JOHN (OD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JOHN
Last Name:ALPAR
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 1:5311 W 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4161
Mailing Address - Country:US
Mailing Address - Phone:806-359-3937
Mailing Address - Fax:806-359-8124
Practice Address - Street 1:5311 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4161
Practice Address - Country:US
Practice Address - Phone:806-359-3937
Practice Address - Fax:806-359-8124
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3607TG152W00000X, 152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1216087-04Medicaid
1411926OtherTPIN - GOV. CONTRACTS
TX3607TGOtherOPTOMETRIC LICENSE
TXR0100468OtherDPS NUMBER
790417448OtherDUNS #
752106346OtherFED TAX ID
0663220001 00E07BOtherDME #
0663220001 00E07BOtherDME #
00E07BMedicare PIN
TX3607TGOtherOPTOMETRIC LICENSE