| NPI | 1689161176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN NICHOLAS VALAMIDES President 817-874-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7079TG) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |