| NPI | 1073857025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN A LIVENGOOD Doctor Of Optometry/Owner 713-492-7572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2624) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2640) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |