| NPI | 1699931048 |
|---|---|
| Doing Business As | IDENTITY EYECARE |
| Entity Type | Organization |
| Authorized Contact | MELISSA A TAURIAC Optometrist 972-556-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5672T) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |