Active NPIIndividual provider

Pheba S Abraham, OD

Optometrist in Dallas, Texas

NPI Number1629745328
Practice location
4500 S Lancaster RD, Dallas, TX 75216-7167
Fax
—
Last updated
March 7, 2023

Pheba Shibu Abraham is an Optometrist based in Dallas, TX. Pheba Shibu Abraham practices in Dallas, TX and has the professional credentials of OD. The NPI Number for Pheba Shibu Abraham is 1629745328 and holds a License No. 10398T (TX). The current practice location address for Pheba Shibu Abraham is 4500 S Lancaster RD, Dallas, TX 75216-7167 and can be reached out via phone at 214-857-1811.

Provider Profile Details

NPI Number
1629745328
Provider Name
Pheba Shibu Abraham
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
4500 S Lancaster RD, Dallas, TX 75216-7167
Phone Number
214-857-1811
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2021
Last Update Date
March 7, 2023
Certification Date
March 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
4500 S Lancaster RD
Dallas, TX 75216-7167
City
Dallas
State
Texas
Zip
75216-7167
Phone Number
214-857-1811
Dallas, TX 75216Get directions →

Provider Business Mailing Address Details

Address
4500 S Lancaster RD
Dallas, TX 75216-7167
City
Dallas
State
TX
Zip
75216-7167

License Information

License Number
10398T
License State
TX
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pheba S Abraham, OD?

The NPI number of Pheba S Abraham, OD is 1629745328. It was assigned on August 30, 2021 and is currently active in the NPPES registry.

What is the specialty of Pheba S Abraham, OD?

Pheba S Abraham, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in TX under license number 10398T.

Where does Pheba S Abraham, OD practice?

The practice location is 4500 S Lancaster RD, Dallas, TX 75216-7167. The office can be reached at 214-857-1811 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629745328 directly on the NPPES registry website.

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