| NPI | 1841327145 |
|---|---|
| Doing Business As | LAKESIDE EYE CARE |
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN M MIRABAL President 972-874-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 5878TG) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |