| NPI | 1225230600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI HAMMOND Insurance Coordinator 281-265-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2011-09-07 |