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Organization
PRIMARY EYE CARE CENTER I, LLP
Active
Organization
PRIMARY EYE CARE CENTER I, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE MARIE CORREALE O.D. (OWNER, MANAGING PARTNER)
(281) 331-8681
Entity
Organization
Contact information
Practice address
2800 S GORDON ST, ALVIN, TX 77511-4731
(281) 331-8681
(281) 585-4582
Mailing address
2800 S GORDON ST, ALVIN, TX 77511-4731
(281) 331-8681
(281) 585-4582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4245TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146053701
—
TX
Enumeration date
04/10/2007
Last updated
11/17/2010
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