| NPI | 1598001703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL DOLLAK CEO/President 936-499-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5854TG) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |