| NPI | 1013326958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYNN LYNN UPTON Optometrist 361-993-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3996) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 5299) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |