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

MANOJ ABRAHAM, O.D.

Active Sole Proprietor

Optometrist · SOUTHLAKE, TX

Registration Details

NPI Number
1952500159
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2007 (18.763602083558 yrs)
Last Updated
Dec 2, 2016
Licenses
046009950 (IL)
8563T (TX)
Sole Proprietor
Yes

Practice Information

Address
1251 E SOUTHLAKE BLVD
SUITE 331
SOUTHLAKE, TX, 760926478
Browse TX providers · Browse ZIP 76092
Phone
8173100289
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in SOUTHLAKE, TX

Name Credential NPI
WALLACE R RYNE O.D. 1164421319
MRS. CASEY N HOLDRIDGE O.D. 1457350605
DR. LISA BISHOP OD 1437150448
DR. GREGORY B KLOESEL O.D. 1962404665
DR. KIRK JUSTIN KOOGLER OD 1255323952
DR. PETER JOSEPH ZANELLA JR. OD 1962464446
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.