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Organization
TSO-NORTHEAST VISION CENTER, INC
Active
Organization
TSO-NORTHEAST VISION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS RICHARD ELEY OD (PRESIDENT)
(915) 751-7760
Entity
Organization
Contact information
Practice address
9009 GATEWAY BLVD S, EL PASO, TX 79904-1215
(915) 751-7760
Mailing address
9009 GATEWAY BLVD S, EL PASO, TX 79904-1215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z05013777
—
TX
Enumeration date
11/02/2006
Last updated
08/19/2008
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