Provider Demographics
NPI:1124092168
Name:POLLARD, PAIGE ANDREA (OD)
Entity type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:ANDREA
Last Name:POLLARD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 N NOLAN RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-7001
Mailing Address - Country:US
Mailing Address - Phone:817-645-2411
Mailing Address - Fax:817-645-3447
Practice Address - Street 1:4460 E HIGHWAY 287 STE A
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-7031
Practice Address - Country:US
Practice Address - Phone:972-775-8000
Practice Address - Fax:972-775-8003
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5526TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTX5526OtherEYEMED
TX83498QOtherBLUE CROSS BLUE SHIELD OF TEXAS
TX83498QOtherBLUE CROSS BLUE SHIELD OF TEXAS