NPI | 1184916389 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA TILLEY CHRISTOPHERSON O PT Ometrist/President 214-503-0997 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6883TG) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2012-03-01 |