Provider Demographics
NPI:1588767982
Name:BABIN, MARC TERRY (OD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:TERRY
Last Name:BABIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:2625 OLD DENTON RD
Mailing Address - Street 2:STE 422
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007
Mailing Address - Country:US
Mailing Address - Phone:972-245-5099
Mailing Address - Fax:214-447-9304
Practice Address - Street 1:2625 OLD DENTON RD
Practice Address - Street 2:STE 422
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007
Practice Address - Country:US
Practice Address - Phone:972-245-5099
Practice Address - Fax:214-447-9304
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2009-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX3152TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E04AMedicare UPIN
T12020Medicare UPIN