| NPI | 1417207069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALAN BRONAUGH Owner/Optician 936-632-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TX DR4118) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |