Provider Demographics
NPI:1447459656
Name:HUDSON, LINDSAY SCRIBNER (OD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:SCRIBNER
Last Name:HUDSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:SCRIBNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2323 EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-2902
Mailing Address - Country:US
Mailing Address - Phone:806-688-9332
Mailing Address - Fax:
Practice Address - Street 1:1916 N HOBART ST
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-3413
Practice Address - Country:US
Practice Address - Phone:806-669-2824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7067T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX187147701Medicaid
TX82001QOtherBCBSTX
8J8080Medicare PIN