Advanced Visioncare of Desoto PA

NPI #1962702654 in Desoto, Texas

Provider Information

NPI Number: 1962702654
Entity Type: Organization
Organization Name: Advanced Visioncare of Desoto PA
Primary Specialty: Optometrist
Enumeration Date: Oct 27, 2010
Last Updated: Oct 27, 2010

Practice Location

Address: 600 N HAMPTON RD
City: Desoto
State: Texas
ZIP Code: 75115-4508
Phone: (972) 223-5354

Authorized Official

Name: JAMES KEVIN SMITH
Title: MANAGER
Phone: (972) 223-5354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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