Contract Details
Ancillary Care Services
Facility name
Optics Unique
Provider ID
P000003716
NPI
1053542779
Tax ID
270628416
Effective Date
4/30/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
3500 North Midkiff Road Suite 100
Midland, TX 79705
United States
County
Midland
Phone
4326991300 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address