| NPI | 1750451449 |
|---|---|
| Doing Business As | FANT EYE CARE |
| Entity Type | Organization |
| Authorized Contact | ROBERT RUSSELL ORGAIN Owner 903-831-5706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-03-24 |