Provider Demographics
NPI:1053542779
Name:OPTICS UNIQUE PLLC
Entity type:Organization
Organization Name:OPTICS UNIQUE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LIGHTRAIN
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:432-699-1300
Mailing Address - Street 1:3500 N MIDKIFF RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-4834
Mailing Address - Country:US
Mailing Address - Phone:432-699-1300
Mailing Address - Fax:432-694-1981
Practice Address - Street 1:3500 N MIDKIFF RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-4834
Practice Address - Country:US
Practice Address - Phone:432-699-1300
Practice Address - Fax:432-694-1981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDA2147OtherMEDICARE RAILROAD
TX205721801Medicaid
TX0099FCOtherBCBSTX
TX6267490001Medicare NSC
TXDA2147OtherMEDICARE RAILROAD