Colleyville Eye Corporation

NPI 1063546414 - Optometrist - 152W00000X

NPI Details
NPI 1063546414
Enumeration Date 03/16/2007
Last Updated 10/02/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FORTSMITH FORTSMITH
Position DIRECTOR
Phone (817) 485-3300
Fax
Practice Location
5615 COLLEYVILLE BOULEVARD
SUITE 460
COLLEYVILLE TX, 76034, US
Phone (817) 485-3300
Fax
Business Location
5615 COLLEYVILLE BOULEVARD
SUITE 460
COLLEYVILLE TX, 76034, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
Remove 1063546414 NPI Number
 

According to our database, Colleyville Eye Corporation NPI is 1063546414, taxonomy code is 152W00000X Colleyville Eye Corporation physically located at 5615 Colleyville Boulevard, Colleyville TX, 76034. NPI Number 1033115704 has the healthcare provider type.

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1063546414 NPI number is provided on an as is basis without warranty of any kind. 1063546414 is maintained by the National Plan & Provider Enumeration System. The contents of Colleyville Eye Corporation are for informational purposes only.