| NPI | 1629386354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHAN PATEL Optometrists/Owner 979-695-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7446TG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 7446TG) |
| 152WP0200X Optometrist, Pediatrics (Licence: TX 7446TG) | |
| 152WS0006X Optometrist, Sports Vision (Licence: TX 7446TG) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-11-18 |