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Organization
OCULUS INTERESTS V, LLC
Active
Organization
OCULUS INTERESTS V, LLC
Active
Other names
Oculus Interests V, LLC, My Eye Lab - Spring
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SUPERVISOR)
(561) 433-6009
Entity
Organization
Contact information
Practice address
20530 INTERSTATE 45 N STE 2710, SPRING, TX 77373-2900
(561) 275-2020
(561) 828-8367
Mailing address
20530 INTERSTATE 45 N STE 2710, SPRING, TX 77373-2900
(561) 275-2020
(561) 828-8367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
02/26/2020
Last updated
02/17/2021
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