| NPI | 1619262417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY SCHOTTMAN Owner 512-419-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: TN 5531T) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: TX 5531T) |
| 152WS0006X Optometrist Sports Vision (Licence: TX 5531T) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |