Organization · NPI-2

20-20 Sight, PA

Optometrist · Grand Prairie, TX

NPI number1760416408
StatusActive
Last updated in NPPESJan 25, 2017

Details

NPI
1760416408
Entity type
Organization (NPI-2)
Legal business name
20-20 Sight, PA
Organization subpart
No
Enumeration date
Jul 10, 2006
Last updated
Jan 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

4116 S Carrier Pkwy
Ste 120
Grand Prairie, TX 75052-3200

Phone 972-264-7200 · Fax 972-264-7220

Mailing address

4116 S Carrier Pkwy
Ste 120
Grand Prairie, TX 75052-3200

Phone 972-264-7200 · Fax 972-264-7220

Authorized official

Larry Tarrant
Owner
9722647200

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