| NPI | 1689852535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY JANE YOUNG Owner Manager 254-883-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1201X Technician/Technologist, Optometric Assistant |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2008-07-22 |