| NPI | 1194919092 |
|---|---|
| Doing Business As | SOUTHLAKE FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | KIM KOOGLER Office Manager 817-481-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5135TG) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2022-06-28 |