Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 4171TG | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 4171TG | TX |
NPI | 1134122260 |
---|---|
Provider Name | Dr. Robert Brian Yeaman |
First Address | Granbury, TX 76048-1953 |
Second Address | Granbury, TX 76048-1953 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 11/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010794060 | PRIVATE HEALTHCARE SYSTEM (01) | TX |
010794060 | VISION SERVICE PLAN (01) | TX |
040799103 | (05) | TX |
12254 | OPTICARE (01) | TX |
1686057 | UNITED HEALTHCARE (01) | TX |
2090059 | FIRST HEALTH NETWORK (01) | TX |
5443297 | CCN NETWORK (01) | TX |
80884Q | BLUE CROSS BLUE SHIELD (01) | TX |
907420 | BLOCK VISION (01) | TX |
DA7004 | RAILROAD MEDICARE (01) | TX |
U19832 | (02) | TX |