| NPI | 1821299074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA E BARNES Optometrist 281-498-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2744T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 3314TG) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 3314TG) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 2744T) | |
| 152WP0200X Optometrist, Pediatrics (Licence: TX 3314TG) | |
| 152WS0006X Optometrist, Sports Vision (Licence: TX 3314TG) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |