Mona Douglas, O.D.

Optometrist · Tyler, TX

Individual Active NPI

NPI number 1962841387

Practice location

4524 S Broadway Ave
Tyler, TX 75703-1305
Phone
(903) 581-1530
Fax
(903) 534-8629

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NPI record

NPI
1962841387
Entity type
Individual (Type 1)
Enumeration date
June 19, 2013
Last updated
June 19, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 5038TG TX

About Dr. Douglas

Mona Douglas, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4524 S Broadway Ave, Tyler, TX 75703-1305. The NPI number 1962841387 was assigned on June 19, 2013 and the record was last updated on June 19, 2013.

Dr. Douglas lists a license in the registry: #5038TG (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 Mona Douglas, O.D.?

The NPI number is 1962841387.

What is the phone number of Dr. Douglas?

The phone number listed for the practice location is (903) 581-1530.

Where is Dr. Douglas located?

4524 S Broadway Ave, Tyler, TX 75703-1305.

What is the taxonomy code for Dr. Douglas?

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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