| NPI | 1407472376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GLOSTER Owner 972-223-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 156FX1201X Technician/Technologist, Optometric Assistant | |
| 156FX1202X Technician/Technologist, Optometric Technician | |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-11-09 |