NPI | 1699978478 |
---|---|
Doing Business As | PREMIUM EYECARE |
Entity Type | Organization |
Authorized Contact | MICHAEL T UKWADE Therapeutic Optometrist 281-488-4774 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2007-06-07 |
Last Update Date | 2020-08-22 |