| NPI | 1043491228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE E QUINLIVAN Owner/Optometrist 512-863-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 05153TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 05212T) |
| 152W00000X Optometrist (Licence: TX U66991) | |
| 152W00000X Optometrist (Licence: TX U74650) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2017-04-14 |