| NPI | 1750553707 |
|---|---|
| Doing Business As | LAKE TRAVIS EYE CARE |
| Entity Type | Organization |
| Authorized Contact | NANCY PREVOST Owner/President 512-263-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5592TG) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2009-01-29 |