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Organization
MODERN SPECTACLE EYECARE PLLC
Active
Organization
MODERN SPECTACLE EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LESAGE OD (OPTOMETRIST)
(713) 732-6385
Entity
Organization
Contact information
Practice address
6336 GASTON AVE, DALLAS, TX 75214-3926
(469) 225-9959
(469) 225-3537
Mailing address
6336 GASTON AVE, DALLAS, TX 75214-3926
(469) 225-9959
(469) 225-3537
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
04/09/2024
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