Provider Demographics
NPI:1023135712
Name:DRS E M WRIGHT & WRIGHT & WRIGHT OPTOMETRISTS PC
Entity type:Organization
Organization Name:DRS E M WRIGHT & WRIGHT & WRIGHT OPTOMETRISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:432-758-3229
Mailing Address - Street 1:PO BOX 970
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:TX
Mailing Address - Zip Code:79360-0970
Mailing Address - Country:US
Mailing Address - Phone:806-592-2020
Mailing Address - Fax:806-592-2074
Practice Address - Street 1:103 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:DENVER CITY
Practice Address - State:TX
Practice Address - Zip Code:79323-3225
Practice Address - Country:US
Practice Address - Phone:806-592-2020
Practice Address - Fax:806-592-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3406TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX093030701Medicaid
TX00E05WMedicare ID - Type Unspecified
TX093030701Medicaid