| NPI | 1083767313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND JAMES CARSON Doctor 325-692-1627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6542T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6549T) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-02-26 |