| NPI | 1558561605 |
|---|---|
| Doing Business As | EAGLE RANCH VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM L ASTON Owner 817-750-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 06273TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 06384TG) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2009-02-25 |