DARRICK SHAWN BUB

BUB-LEE EYE CENTER INC

Dr DARRICK SHAWN BUB is a male medical professional, specializing in Optometry. He graduated in 1998 from Illinois College Of Optometry At Chicago.

Contact

BUB-LEE EYE CENTER INC

10411 W FAIRMONT PKWY
LA PORTE
TX
775716014

Tel: 2819916774

DARRICK SHAWN BUB Information

Npi 1619023678
Pac Id 9032266317
Professional Enrollment Id I20140423000086
Last Name BUB
First Name DARRICK
Middle Name SHAWN
Suffix
Gender M
Credential
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1998
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BUB-LEE EYE CENTER INC
Group Practice Pac Id 0042367328
Number Of Group Practice Members 2
Line 1 Street Address 10411 W FAIRMONT PKWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LA PORTE
State TX
Zip Code 775716014
Phone Number 2819916774
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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