| NPI | 1568804771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY RONIN Optometrist 682-554-2079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: TX 8032TG) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |