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Organization
VANTAGE VISION P.C.
Active
Organization
VANTAGE VISION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAT LY O.D. (PRESIDENT)
(903) 581-2426
Entity
Organization
Contact information
Practice address
4601 S BROADWAY AVE, F22, TYLER, TX 75703-1307
(903) 581-2426
Mailing address
4601 S BROADWAY AVE, F22, TYLER, TX 75703-1307
(903) 581-2426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6516 T
TX
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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