| NPI | 1821177643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE L NEAL President 469-214-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-02-05 |