NPI | 1386771855 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY NGUYEN Director 972-272-9455 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5741TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 5573T) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2012-05-03 |