| NPI | 1417315672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M NEVELOW Owner 210-349-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2061-TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6756-TG) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-08-30 |