| NPI | 1124285374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PETER AMEGIN O PT Halmologist 956-318-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX H8566) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX H8566) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX H8566) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2016-09-20 |