NPI | 1033251285 |
---|---|
Doing Business As | EYE GALLERY |
Entity Type | Organization |
Authorized Contact | ANTHONY BORGOGNONI Provider 972-519-0006 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: TX 3409TG) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2023-03-07 |