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Organization

WOODLANDS 2020 VISION

Active
Find providers by NPI
Organization

WOODLANDS 2020 VISION

Active
Other names
woodlands 2020 vision
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CROSBY W WALLACE OD (CEO/OPTOMETRIST)
(281) 355-9090
Entity
Organization

Contact information

Practice address
1440 LAKE WOODLANDS DR, SPRING, TX 77380-3273
(832) 412-2020
Mailing address
1440 LAKE WOODLANDS DR, SPRING, TX 77380-3273
(832) 412-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5527TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092991101
—
TX
Enumeration date
11/06/2014
Last updated
11/06/2014
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