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 |