| NPI | 1215824768 |
|---|---|
| Doing Business As | ANTELOPE MALL VISION CENTER OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | BRITTANY HARRISON Director, Rcm 512-316-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |