Trinity Vision Center,pa
Optometrist in Boerne, TX. Organization (NPI-2).
NPI number1861694549
StatusActive
Last updated in NPPESDec 1, 2015
Details
- NPI
- 1861694549
- Entity type
- Organization (NPI-2)
- Legal business name
- Trinity Vision Center,pa
- Organization subpart
- No
- Enumeration date
- Jun 4, 2007
- Last updated
- Dec 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 6310T | TX | Yes |
Other names
- Trinity Vision Center, PA (Doing Business As)
Practice location
1201 S Main StSte 108
Boerne, TX 78006-2833
Phone 830-249-3898 · Fax 830-249-9228
Mailing address
1201 S Main StSte 108
Boerne, TX 78006-2833
Phone 830-249-3898 · Fax 830-249-9228
Authorized official
Justin M Kim
President
8302493898
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