NPI | 1366968463 |
---|---|
Doing Business As | DOUBLE CREEK EYE CARE |
Entity Type | Organization |
Authorized Contact | JOHNATHAN MARVIN CARROLL Owner 512-898-9995 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8104TG) |
Enumeration Date | 2017-08-21 |
Last Update Date | 2022-07-21 |