| NPI | 1376892794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAKA CHANELLE NORWOOD Optometrist/Owner 817-223-7294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3061) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-09-10 |