| NPI | 1962832345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA BIEDERMAN Owner/O PT Ometrist 469-444-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6714-TG) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2014-10-15 |