| NPI | 1689947509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K. GREEN Owner 830-693-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-24 |