| NPI | 1164685988 |
|---|---|
| Doing Business As | EAST TEXAS VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN MCGOUGH Owner 903-593-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 3363TG) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |