Ethelred Enterprises, LLC.

Optometrist · Waco, TX

Organization Active NPI

NPI number 1154585180

Practice location

614 N New Rd # 6035
Waco, TX 76710-6035
Phone
(254) 770-1338
Fax
(254) 770-1602

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NPI record

NPI
1154585180
Entity type
Organization (Type 2)
Enumeration date
July 18, 2008
Last updated
June 24, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 4923T TX

Mailing address

614 N New Rd
Waco, TX 76710-6035
Phone
(254) 776-1338
Fax
(254) 751-1312

Authorized official

Name
Courtney Cheyne Cobbs, OD
Title
Owner/Managing Member
Phone
(817) 408-7636

About Ethelred Enterprises, LLC.

Ethelred Enterprises, LLC. is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 614 N New Rd # 6035, Waco, TX 76710-6035. The NPI number 1154585180 was assigned on July 18, 2008 and the record was last updated on June 24, 2009.

Ethelred Enterprises, LLC. lists a license in the registry: #4923T (TX) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Courtney Cheyne Cobbs, OD, Owner/Managing Member.

Frequently asked questions

What is the NPI number of Ethelred Enterprises, LLC.?

The NPI number is 1154585180.

What is the phone number of Ethelred Enterprises, LLC.?

The phone number listed for the practice location is (254) 770-1338.

Where is Ethelred Enterprises, LLC. located?

614 N New Rd # 6035, Waco, TX 76710-6035.

What is the taxonomy code for Ethelred Enterprises, LLC.?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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