NPI | 1396073300 |
---|---|
Doing Business As | OPTIC TREND |
Entity Type | Organization |
Authorized Contact | EDWARD ANTHONY MARQUEZ President 956-793-2160 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6901 TG) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TX 6901 TG) |
Enumeration Date | 2009-12-02 |
Last Update Date | 2022-05-31 |