| NPI | 1578964185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHUONG TUAN DINH O PT Ometrist/Owner 361-993-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: TX 6068TG) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2016-06-09 |