| NPI | 1982720637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E SIEGEL Owner 713-681-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2141) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 2141) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-07-17 |