Vantage Vision P.c.

NPI #1194859769 in Tyler, Texas

Provider Information

NPI Number
1194859769
Entity Type
Organization
Organization Name
Vantage Vision P.c.
Primary Specialty
Optometrist
Enumeration Date
Mar 15, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
4601 S BROADWAY AVE
Address 2
F22
City
Tyler
State
Texas
ZIP Code
75703-1307
Phone
(903) 581-2426

Authorized Official

Name
DAT LY, O.D.
Title
PRESIDENT
Phone
(903) 581-2426

Specialties & Taxonomy Codes

Specialty
Optometrist

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