| NPI | 1225210032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A GRACEY President 817-645-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3471TG) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 3471tg) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-07-15 |