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Organization
NORTHLAKE FAMILY EYECARE PLLC
Active
Organization
NORTHLAKE FAMILY EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORI NURSS (INSURANCE COORDINATOR)
(817) 741-2020
Entity
Organization
Contact information
Practice address
1500 COMMONS CIRCLE STE. 200, NORTHLAKE, TX 76226
(817) 741-2020
Mailing address
9816 N BEACH ST, FORT WORTH, TX 76244-6184
(817) 741-2020
(817) 741-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
09/26/2018
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