| NPI | 1255021432 |
|---|---|
| Doing Business As | VISION SOURCE OF TYLER |
| Entity Type | Organization |
| Authorized Contact | KATHERINE EMGE MARSHALL Owner/Optometrist 903-561-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WP0200X Optometrist, Pediatrics | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-12-06 |