| NPI | 1174968002 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MICAEL NELL Owner 936-756-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2624T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 2624T) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TX 2624T) | |
| 152WP0200X Optometrist, Pediatrics (Licence: TX 2624T) | |
| 152WS0006X Optometrist, Sports Vision (Licence: TX 2624T) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: TX 2624T) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: TX 2624T) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2016-05-03 |