NPI | 1043400062 |
---|---|
Doing Business As | LAKESIDE VISION & OPTICAL P.C. |
Entity Type | Organization |
Authorized Contact | STACY LYNN TURNER President 972-985-3638 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
Enumeration Date | 2007-07-26 |
Last Update Date | 2025-01-07 |