Lyle Thorstenson MD

Eyewear Supplier · Nacogdoches, TX

Organization Active NPI

NPI number 1487761060

Practice location

3302 NE Stallings Dr
Nacogdoches, TX 75965-8727
Phone
(936) 564-2411
Fax
(936) 564-1280

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NPI record

NPI
1487761060
Entity type
Organization (Type 2)
Enumeration date
August 23, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Eyewear Supplier Primary 332H00000X — —

Mailing address

PO Box 632020
Nacogdoches, TX 75963-2020
Phone
(936) 564-2411
Fax
(936) 564-1280

Authorized official

Name
Pamela R Thorstenson
Title
Administrator
Phone
(936) 564-2411

Other names

  • Thorstenson Eye Clinic Optical

About Lyle Thorstenson MD

Lyle Thorstenson MD is a healthcare organization registered in the NPI registry with the primary taxonomy Eyewear Supplier (code 332H00000X). The practice location is 3302 NE Stallings Dr, Nacogdoches, TX 75965-8727. The NPI number 1487761060 was assigned on August 23, 2006 and the record was last updated on August 22, 2020.

The authorized official for this organization is Pamela R Thorstenson, Administrator.

Frequently asked questions

What is the NPI number of Lyle Thorstenson MD?

The NPI number is 1487761060.

What is the phone number of Lyle Thorstenson MD?

The phone number listed for the practice location is (936) 564-2411.

Where is Lyle Thorstenson MD located?

3302 NE Stallings Dr, Nacogdoches, TX 75965-8727.

What is the taxonomy code for Lyle Thorstenson MD?

The primary taxonomy code is 332H00000X – Eyewear Supplier.

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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