| NPI | 1114178316 |
|---|---|
| Doing Business As | EASTSIDE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIO A CABALLERO President 915-592-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 4921TG) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |