David Allen Wright, OD
Individual provider Active NPI Optometrist · Seminole, TX
NPI 1992795728 · NPPES record last updated Jun 15, 2009
Key facts
- NPI
- 1992795728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3406TG (TX)
- Practice address
- 707 Hobbs Hwy
Seminole, TX 79360-3401 - Phone
- (432) 758-3229
- Fax
- (432) 758-6542
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120611000685 | TX | Practitioner - Optometry | 9335243450 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3406TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS E M Wright & Wright & Wright Optometrists PC | Optometrist | Current |
Accepting new patients |
| DRS E M Wright & Wright & Wright Optometrists PC | Optometrist | Past | Accepting new patients |
| DRS E M Wright & Wright & Wright Optometrists PC | Optometrist | Past | Accepting new patients |
Locations
1329 N Main St
Andrews, TX 79714
Phone (432) 523-2660
103 E Broadway St
Denver City, TX 79323
Phone (806) 592-2020
707 Hobbs Hwy
Seminole, TX 79360
Phone (432) 758-3229
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3406TG | TX | Yes |
Addresses
Primary practice location
707 Hobbs Hwy
Seminole, TX 79360-3401
Mailing address
PO Box 970
Seminole, TX 79360-0970
Phone (432) 758-3229
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0903030702 | Medicaid | TX |
Other providers in Seminole, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.