NPI | 1205948908 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY J HORACEK Optemtrist Owner Manager 972-335-8686 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3641T) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |