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Organization
WACO VISION CENTER, PLLC
Active
Organization
WACO VISION CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG DO O.D. (OPTOMETRIST)
(817) 262-2145
Entity
Organization
Contact information
Practice address
5201 BOSQUE BLVD, #220, WACO, TX 76710-4676
(254) 741-1022
(254) 776-1053
Mailing address
5836 SUNNY MEADOW LN, GRAND PRAIRIE, TX 75052-8782
(817) 262-2145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8143TG
TX
Other
Enumeration date
12/22/2015
Last updated
11/07/2016
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