| NPI | 1275871675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BRUEGGEMANN Optometrist/Co Owner 469-693-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7467TG) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |