| NPI | 1043372501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD JOSEPH DOBSON Owner 512-804-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-12-18 |