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Organization
ULTIMATE EYE CARE
Active
Organization
ULTIMATE EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM STUART DEFEO (OFFICE MANAGER)
(512) 255-7987
Entity
Organization
Contact information
Practice address
14900 AVERY RANCH BLVD, SUITE B500, AUSTIN, TX 78717
(512) 255-7987
(512) 255-4351
Mailing address
14900 AVERY RANCH BLVD, SUITE B500, AUSTIN, TX 78717
(512) 255-7987
(512) 255-4351
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6067T
TX
152W00000X
Optometrist
6389T
TX
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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