NPI | 1053974741 |
---|---|
Doing Business As | BRAIN 2 EYE TRAINING CENTER |
Entity Type | Organization |
Authorized Contact | KATRINA LIESKE Owner 817-271-8563 |
Organization Subpart ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy |
Additional Taxonomies | 152WX0102X Optometrist, Occupational Vision |
152WP0200X Optometrist, Pediatrics | |
152WS0006X Optometrist, Sports Vision | |
Enumeration Date | 2019-04-17 |
Last Update Date | 2021-12-28 |