| NPI | 1023140860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE KAY FAULKNER Owner 817-870-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TX DR3962) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |