Permian Basin Eye Care Center LLC

NPI #1578879102 in Midland, Texas

Provider Information

NPI Number
1578879102
Entity Type
Organization
Organization Name
Permian Basin Eye Care Center LLC
Primary Specialty
Optometrist
Enumeration Date
Aug 20, 2010
Last Updated
Aug 20, 2010

Practice Location

Address
2200 W WADLEY AVE
Address 2
STE 22
State
Texas
ZIP Code
79705-6438
Phone
(432) 684-7287

Authorized Official

Name
BLAKE GOLSON, O.D.
Title
OWNER
Phone
(432) 661-6579

Specialties & Taxonomy Codes

Specialty
Optometrist

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