| NPI | 1114741501 |
|---|---|
| Doing Business As | LAKEWAY EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | SIMA TAJ MOZDBAR Optometrist/Owner 512-921-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |