Promenade Optical
NPI #1932398609 in Richardson, Texas
Provider Information
- NPI Number
- 1932398609
- Entity Type
- Organization
- Organization Name
- Promenade Optical
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 18, 2007
- Last Updated
- May 7, 2008
Practice Location
- Address
- 650 N COIT RD
- Address 2
- #2325
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-5406
- Phone
- (972) 238-0815
Authorized Official
- Name
- MANON TREYBIG
- Title
- MANAGER
- Phone
- (972) 238-0815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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