Ultimate Eyecare

NPI 1588931323 - Optometrist - 152W00000X

NPI Details
NPI 1588931323
Enumeration Date 11/22/2011
Last Updated 11/22/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JERRY JERRY
Position OPTOMETRIST
Phone (512) 388-3937
Fax
Practice Location
2500 W PARMER LN
AUSTIN TX, 78727-4233, US
Phone (512) 388-3937
Fax
Business Location
2500 W PARMER LN
AUSTIN TX, 78727-4233, US
Phone (512) 388-3937
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 6388T
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According to our database, Ultimate Eyecare NPI is 1588931323, taxonomy code is 152W00000X and license number is 6388T, license state is located at Texas. Ultimate Eyecare physically located at 2500 W Parmer Ln, Austin TX, 78727-4233. NPI Number 1033115704 has the healthcare provider type.

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1588931323 NPI number is provided on an as is basis without warranty of any kind. 1588931323 is maintained by the National Plan & Provider Enumeration System. The contents of Ultimate Eyecare are for informational purposes only.