Provider Demographics
NPI:1982950481
Name:LINDSEY ALEXANDER OD PA
Entity type:Organization
Organization Name:LINDSEY ALEXANDER OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-563-3253
Mailing Address - Street 1:110 N ADELAIDE ST
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-2709
Mailing Address - Country:US
Mailing Address - Phone:972-563-3253
Mailing Address - Fax:972-551-1224
Practice Address - Street 1:110 N ADELAIDE ST
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-2709
Practice Address - Country:US
Practice Address - Phone:972-563-3253
Practice Address - Fax:972-551-1224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7502TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB156294Medicare PIN