NPI | 1114116696 |
---|---|
Doing Business As | CUSTOM EYE CARE |
Entity Type | Organization |
Authorized Contact | MARIE ELAINE VLASAK President 210-699-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5039TG) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2011-07-12 |