Provider Demographics
NPI:1811154750
Name:DEBRA L. WARE, O.D., P.C.
Entity type:Organization
Organization Name:DEBRA L. WARE, O.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-238-6889
Mailing Address - Street 1:2000 N MAYS ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2166
Mailing Address - Country:US
Mailing Address - Phone:512-238-6889
Mailing Address - Fax:512-238-7648
Practice Address - Street 1:2000 N MAYS ST
Practice Address - Street 2:SUITE 130
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2166
Practice Address - Country:US
Practice Address - Phone:512-238-6889
Practice Address - Fax:512-238-7648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5604TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU74685Medicare UPIN
TX00589TMedicare PIN