NPI | 1699711713 |
---|---|
Former Legal Business Name | TOM J. SHIREY, O.D. |
Entity Type | Organization |
Authorized Contact | TOM J. SHIREY Owner/President 817-246-3177 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2758) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2008-07-22 |