NPI 1083791354
Henderson Optical, LLC
Practice location
- Address
- 1201 Summit Ave, Fort Worth, TX 76102-4413
- Phone
- (817) 336-3653
- Fax
- (817) 332-4233
Authorised official
- Name
- Dan Bruhl
- Title
- Ophthalmologist
- Phone
- (817) 336-3653
Registered specialties
Optician
Primary
Registry record
- NPI
- 1083791354
- Entity type
- Organization
- NPI issued
- 1 Nov 2006
- Record last updated
- 4 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.