NPI | 1497049159 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ONOFRE Owner/Optometrist 830-331-8981 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6760TG) |
152W00000X Optometrist (Licence: TX 6852TG) | |
Enumeration Date | 2011-05-30 |
Last Update Date | 2011-12-02 |