20-20 Vision Clinic, LLP

NPI #1104957257 in Grapevine, Texas

Provider Information

NPI Number: 1104957257
Entity Type: Organization
Organization Name: 20-20 Vision Clinic, LLP
Primary Specialty: Optometrist
Enumeration Date: Mar 8, 2007
Last Updated: Jul 7, 2016

Practice Location

Address: 819 IRA E WOODS AVE
City: Grapevine
State: Texas
ZIP Code: 76051-4012
Phone: (817) 488-4893

Authorized Official

Name: JERRY L LATHAM, OD
Title: MANAGING PARTNER
Phone: (817) 488-4893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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