King and Rose Optical, Inc.

NPI #1841740503 in Austin, Texas

Provider Information

NPI Number
1841740503
Entity Type
Organization
Organization Name
King and Rose Optical, Inc.
Primary Specialty
Optometrist
Enumeration Date
Oct 6, 2016
Last Updated
Oct 6, 2016

Practice Location

Address
6701 BURNET RD
Address 2
SUITE C2
City
Austin
State
Texas
ZIP Code
78757-2855
Phone
(737) 484-1512

Authorized Official

Name
DR. DREW PROVOST, O.D.
Title
CEO
Phone
(737) 484-1512

Specialties & Taxonomy Codes

Specialty
Optometrist

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