| NPI | 1619287240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DENNIS NEVETT President 972-740-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA OD60060955) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2010-10-16 |
| Last Update Date | 2022-09-20 |