| NPI | 1174802631 |
|---|---|
| Doing Business As | AUGUST WALLACE EYECARE ASSOCIATES |
| Doing Business As | TEXAS STATE OPTICAL LONGVIEW |
| Entity Type | Organization |
| Authorized Contact | AUGUST MICHAEL WALLACE Doctor/Owner 903-663-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX T07660) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2020-03-25 |