| NPI | 1508040429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SMITH Office Manager 830-997-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 4526TG) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: TX 4526TG) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2015-09-30 |