| NPI | 1164224846 |
|---|---|
| Doing Business As | CASEY OPTICAL TEXAS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BRODERICK Manager 505-379-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |