| NPI | 1104009174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIH-WEI S TSENG Optometrist 972-517-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261Q00000X (Licence: TX 6628TG) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2016-03-10 |