| NPI | 1427420496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE E GREER Administrator 936-569-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2016-02-26 |