Beddow, R Dean

Beddow, R Dean is an individual health care provider with primary practice located at 3408 Olsen Blvd , Amarillo TX 79109-3017. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Beddow, R Dean can be contacted via phone (806) 355-5633.

Contact Information

Primary practice address
3408 Olsen Blvd Amarillo TX 79109-3017
Phone: (806) 355-5633
Fax: (806) 355-9133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 01816TG Texas

Profile Details

NPI number 1629046230
LBN Legal business name Beddow, R Dean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 24th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629046230 NPPES
Texas MEDICAID 112473701
Texas Other 83132Q

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