| NPI | 1407385388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA LY Manager 972-639-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2026-03-03 |