20/20 Icare and Iwear, Pllc
NPI #1932629987 in Grand Prairie, Texas
Provider Information
- NPI Number
- 1932629987
- Entity Type
- Organization
- Organization Name
- 20/20 Icare and Iwear, Pllc
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 21, 2017
- Last Updated
- Oct 27, 2023
Practice Location
- Address
- 3510 S STATE HWY 161
- Address 2
- SUITE 110
- City
- Grand Prairie
- State
- Texas
- ZIP Code
- 75052
- Phone
- (972) 264-7200
Authorized Official
- Name
- LONG DO, OD
- Title
- MANAGING OPTOMETRIST
- Phone
- (817) 262-2145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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| DR. Jaime Rene Gonzalez, O.D. | |
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| Jeffrey Xue, OD |
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