2020 Eyedr

NPI #1942754700 in Southlake, Texas

Provider Information

NPI Number: 1942754700
Entity Type: Organization
Organization Name: 2020 Eyedr
Primary Specialty: Optometrist
Enumeration Date: Aug 10, 2016
Last Updated: Aug 10, 2016

Practice Location

Address: 1251 E SOUTHLAKE BLVD
Address 2: SUITE 331
City: Southlake
State: Texas
ZIP Code: 76092-6478
Phone: (630) 452-6290

Authorized Official

Name: DR. MANOJ ABRAHAM, OD
Title: OPTOMETRIST
Phone: (630) 452-6290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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