| NPI | 1487813101 |
|---|---|
| Doing Business As | HOME EYE DOC |
| Entity Type | Organization |
| Authorized Contact | IVAN JOSEPH SRUT President 281-380-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5342TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6238TG) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2013-07-25 |