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 |