| NPI | 1386870608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEVY C LEE Physician 956-686-2464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX E4477) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX E4477) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2016-06-14 |