East Texas Optical, INC

NPI #1619001013 in Quitman, Texas

Provider Information

NPI Number
1619001013
Entity Type
Organization
Organization Name
East Texas Optical, INC
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Mar 15, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2476 W STATE HIGHWAY 154
State
Texas
ZIP Code
75783-5587
Phone
(903) 878-2451

Authorized Official

Name
MR. RICHARD EDWARD LISKE
Title
PRESIDENT
Phone
(903) 878-2451

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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