National Provider Identifier Database

MINDI G KAVANAUGH, OD – NPI #1811200389
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

MINDI G KAVANAUGH, OD
725 E VILLA MARIA RD STE 1500
BRYAN, TX77802-5345
Phone: 979-775-4900
Fax: 979-775-4949
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Pediatrics 152WP0200X

* Indicates primary specialty

NPI Profile & details for MINDI G KAVANAUGH

NPI Number 1811200389
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/26/2010
Last updated 10/03/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • TX License #: 5828T
  • TX Other: 5828T OPTOMETY LICENSE NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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