Prosper Eye Care PA

NPI #1588776066 in Prosper, Texas

Provider Information

NPI Number: 1588776066
Entity Type: Organization
Organization Name: Prosper Eye Care PA
Primary Specialty: Optometrist
Enumeration Date: Aug 31, 2006
Last Updated: Jun 9, 2011

Practice Location

Address: 221 N PRESTON RD
Address 2: #B
City: Prosper
State: Texas
ZIP Code: 75078-8792
Phone: (972) 347-2020

Authorized Official

Name: WADE A. KONVALIN, OD
Title: OWNER
Phone: (972) 347-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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