| NPI | 1043497639 |
|---|---|
| Doing Business As | CENTRAL VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | RONALD F. DE LA FUENTE Owner 214-529-1849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5936TG) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |