NPI | 1508057431 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIANA VANZANT MONTGOMERY Optometrist/President 903-223-6508 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5543T) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2007-08-06 |