| NPI | 1619717345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MADREPERLA President And CEO 214-415-9671 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-03-23 |