| NPI | 1033251285 |
|---|---|
| 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 |