20/20 Icare Tyler Pllc

NPI #1073240271 in Tyler, Texas

Provider Information

NPI Number: 1073240271
Entity Type: Organization
Organization Name: 20/20 Icare Tyler Pllc
Primary Specialty: Optometrist
Enumeration Date: Aug 7, 2022
Last Updated: Aug 7, 2022

Practice Location

Address: 4824 S BROADWAY AVE
City: Tyler
State: Texas
ZIP Code: 75703-1312
Phone: (903) 581-2020

Authorized Official

Name: LONG DO, OD
Title: PRESIDENT
Phone: (817) 262-2145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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