NPI | 1437318391 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNNE K. MARTIN O PT Ometrist/Bookkeeper 512-785-0624 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5141T) |
Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: TX 5141T) |
152WV0400X Optometrist Vision Therapy (Licence: TX 5141T) | |
Enumeration Date | 2008-06-05 |
Last Update Date | 2014-02-04 |