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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANJONETTE L COLVIN, OD

Deactivated Sole Proprietor

DR. ANJONETTE L COLVIN, OD is a Optometrist healthcare provider located in FORT WORTH, Texas. NPI 1114918943 is deactivated in the NPPES registry. Verify at CMS.

Optometrist · FORT WORTH, TX

This NPI has been deactivated. The record was deactivated on June 3, 2008. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1114918943
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2005 (2.5874316939891 yrs)
Last Updated
May 6, 2022
Deactivated
Jun 3, 2008
License
6164TG (TX)
Sole Proprietor
Yes

Practice Information

Address
9816 N BEACH ST
STE 101
FORT WORTH, TX, 762446184
Browse TX providers · Browse ZIP 76244
Phone
8177412020
Fax
8177413937
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in FORT WORTH, TX

Name Credential NPI
DR. WILLIAM LEE ASTON II O.D. 1275536005
DR. MELISSA ANN ASTON O.D. 1619970431
BRENDA K BYRD O.D. 1376549600
SEAN CHRISTOPHER HEALEY O.D. 1437155462
DR. THOMASON J SHIREY O.D. 1740287234
GAYLE DANIELS OD 1447252374
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.