Organization · NPI-2

David Alonso, Od A Professional Corporation

Optometrist · Grand Prairie, TX

NPI number1982084554
StatusActive
Last updated in NPPESDec 30, 2015

Details

NPI
1982084554
Entity type
Organization (NPI-2)
Legal business name
David Alonso, Od A Professional Corporation
Organization subpart
No
Enumeration date
Jun 9, 2015
Last updated
Dec 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Other names

  • Grand Prairie Eyecare (Doing Business As)

Practice location

3050 W Camp Wisdom Rd
Suite 140
Grand Prairie, TX 75052-4642

Phone 214-718-8447

Mailing address

3050 W Camp Wisdom Rd
Suite 140
Grand Prairie, TX 75052-4642

Authorized official

David Alonso
President
2147188447

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