Ethan David Royster
Optometrist · Wylie, TX
Practice location
130 N Ballard AveWylie, TX 75098-4467
- Phone
- 19724299090
- Fax
- (972) 429-7676
NPI record
- NPI
- 1417479684
- Entity type
- Individual (Type 1)
- Enumeration date
- July 10, 2017
- Last updated
- July 10, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
9239T | TX |
About Ethan Royster
Ethan David Royster is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 130 N Ballard Ave, Wylie, TX 75098-4467. The NPI number 1417479684 was assigned on July 10, 2017 and the record was last updated on July 10, 2017.
Ethan Royster lists a license in the registry: #9239T (TX) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ethan David Royster?
The NPI number is 1417479684.
What is the phone number of Ethan Royster?
The phone number listed for the practice location is 19724299090.
Where is Ethan Royster located?
130 N Ballard Ave, Wylie, TX 75098-4467.
What is the taxonomy code for Ethan Royster?
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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