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Organization
PREMIER VISION GROUP PLLC
Active
Organization
PREMIER VISION GROUP PLLC
Active
Other names
Glade Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
NELLYA GENDELMAN O.D. (OPTOMETRIST)
(972) 571-5701
Entity
Organization
Contact information
Practice address
1301 W GLADE RD, SUITE 196, EULESS, TX 76039-5418
(972) 571-5701
Mailing address
4068 OLYMPIC CT, PLANO, TX 75093-2643
(972) 571-5701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8198TG
TX
Other
Enumeration date
11/18/2013
Last updated
03/31/2014
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