MR. MYRON PATRICK (NPI# 1538325519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538325519 |
| Entity Type | Individual |
| Full Name | MR. MYRON PATRICK |
| Practice Address |
109 N Runnels St De Kalb TX 75559-1440 |
| Practice Telephone | 9036672015 |
| Practice Fax Number | 9036670930 |
| Mailing Telephone | 9036672015 |
| Mailing Fax Number | 9036670930 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2009-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers | ||
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
109 N RUNNELS ST |
| City | DE KALB |
| State | TX |
| Zip Code | 75559-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285879965 | The Optical Shoppe | Eyewear Supplier (Equipment, not the service) | 109 N Runnels St, De Kalb, TX 75559-1440 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295138055 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 12522 Fm 1840, De Kalb, TX 75559 | 2014-10-07 |
| 1114079001 | Hubbard Independent School District | Local Education Agency (LEA) | 3347 Hwy 259 South, De Kalb, TX 75559 | 2007-01-18 |
| 1306871561 | Save Mart Pharmacy | Durable Medical Equipment & Medical Supplies | 136 N Centre, Dekalb, TX 75559 | 2006-07-12 |
| 1427052000 | Dekalb Pharmacy LLC | Pharmacy | 120 W Front St, De Kalb, TX 75559-1308 | 2005-06-10 |
| 1063474807 | Janet Tidwell | Pharmacist | 120 W Front St, De Kalb, TX 75559-1308 | 2006-04-05 |
| 1104904044 | David Blair Hodges | Dentist | 109 Oak St, De Kalb, TX 75559-1359 | 2006-11-01 |
| 1669537247 | Christy M. Walls | Pharmacist | 120 W Front St, De Kalb, TX 75559-1371 | 2006-12-26 |
| 1285770180 | John Franklin Cary | Pharmacist | 136 N Centre St, De Kalb, TX 75559-1404 | 2007-01-29 |
| 1902978364 | Total Medical Supply | Durable Medical Equipment & Medical Supplies | 216 N Centre St, De Kalb, TX 75559-1406 | 2006-11-14 |
| 1720416308 | Almer Lee Hadaway Jr. | Nurse Practitioner | 216 N Centre St, De Kalb, TX 75559-1406 | 2013-10-17 |
| Find all providers in zip 75559 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168029 | Ashley Teixeira | Technician/Technologist | 2949 Morlanga St, New Braunfels, TX 78130-0135 | 2020-09-10 |
| 1134730831 | Lori Casterlin | Technician/Technologist | 6448 E Hwy 290 Ste E105, Austin, TX 78723-1041 | 2020-08-14 |
| 1104443944 | Nelson Lasana Freeman | Technician/Technologist | 2828 Hayes Rd Apt 232, Houston, TX 77082-6634 | 2020-06-27 |
| 1922628478 | Khalil Sandoval | Technician/Technologist | 265 Joanne Loop Unit A, Buda, TX 78610-3894 | 2020-04-24 |
| 1699394064 | Shapale Coleman | Technician/Technologist | 1814 Paseo Verde Dr, Leander, TX 78641-8293 | 2020-04-15 |
| 1205460516 | Brian E Menjivar | Technician/Technologist | 6741 Crator Dr, Mckinney, TX 75070-9532 | 2020-02-25 |
| 1255891115 | Annalisiya Bridgette Blair | Technician/Technologist | 4242 Duck Creek Dr Apt 102, Garland, TX 75043-6978 | 2019-03-25 |
| 1801350509 | Thomas Absher | Technician/Technologist | 6336 Brimwood Dr, Plano, TX 75093-7968 | 2019-01-27 |
| 1710455464 | Shammari Hollins | Technician/Technologist | 5555 Antoine Dr Apt 222, Houston, TX 77091-4835 | 2018-11-09 |
| 1023594587 | Sniffle Health Inc | Technician/Technologist | 7700 Windrose Ave, Plano, TX 75024-0173 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.