| NPI | 1770696304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYLE E. FREEDMAN Owner 817-551-5600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TX MDG2369) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-04-14 |