| NPI | 1306119177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IREDIA JOE EKUKPE Owner/ O PT Ometrist 214-641-9072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6330TG) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2013-04-12 |