Optical Boutique and Eyecare

NPI #1407472376 in Desoto, Texas

Provider Information

NPI Number: 1407472376
Entity Type: Organization
Organization Name: Optical Boutique and Eyecare
Primary Specialty: Optometrist
Enumeration Date: Jun 17, 2020
Last Updated: Nov 9, 2020

Practice Location

Address: 1233 E PLEASANT RUN RD STE A
City: Desoto
State: Texas
ZIP Code: 75115-4200
Phone: (972) 223-2020

Authorized Official

Name: DR. DANIELLE GLOSTER, O.D.
Title: OWNER
Phone: (972) 223-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Technician/Technologist - Optometric Assistant — Optometric Assistant	156FX1201X
Technician/Technologist - Optometric Technician — Optometric Technician	156FX1202X
Technician/Technologist - Optician — Optician	156FX1800X
Optometrist	152W00000X	Primary

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