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Contact Information

NICHOLE Q SOTO, THERAPEUTIC OPTOMETR
2740 HWY 35 NORTH
ROCKPORT, TX78382
 Phone: 361-729-2020
 Fax: 361-729-4525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NICHOLE Q SOTO · (Female)

NPI Number 1932240256
Status Active
Credentials THERAPEUTIC OPTOMETR
Entity Individual
Enumeration date 02/09/2007
Last updated 02/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 5951TG
  • TX Medicaid 143025801
  • Other 0020FB BCBS
Hospital affiliation(s) Not Available
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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