NPI | 1871077479 |
---|---|
Doing Business As | BESPOKE EYE CARE |
Entity Type | Organization |
Authorized Contact | JONATHAN JOHNSON General Manager 972-703-9070 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
152WP0200X Optometrist Pediatrics | |
332H00000X Eyewear Supplier | |
Enumeration Date | 2018-09-19 |
Last Update Date | 2020-02-25 |