Lone Star Family Vision

NPI #1154655108 in Waco, Texas

Provider Information

NPI Number: 1154655108
Entity Type: Organization
Organization Name: Lone Star Family Vision
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 23, 2009
Last Updated: Sep 23, 2009

Practice Location

Address: 533 N VALLEY MILLS DR
City: Waco
State: Texas
ZIP Code: 76710-5234
Phone: (254) 776-3937

Authorized Official

Name: DR. CLARENCE WIDMANN, O.D.
Title: SOLE PROPRIETOR
Phone: (254) 776-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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