NPI 1417141805

Master Optics Optical

Organisation Point of Service Dallas, TX

Practice location

Address: 3128 Forest Ln 252, Dallas, TX 75234-7726
Phone: (972) 243-3373
Fax: (972) 243-3373
Mailing address: 3128 Forest Lane 252, Dallas, TX 75234

Authorised official

Name: Adda O Medina
Title: Optician
Phone: (972) 243-3373

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence NOT REQUIRED

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Registry record

NPI: 1417141805
Entity type: Organization
NPI issued: 29 Aug 2007
Record last updated: 29 Aug 2007

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.