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Organization
ROANOKE VISION ASSOCIATES
Active
Organization
ROANOKE VISION ASSOCIATES
Active
Other names
Vision Source Trophy Club
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN LAM OD (PRESIDENT)
(469) 464-5949
Entity
Organization
Contact information
Practice address
856 E HIGHWAY 114 STE 100, ROANOKE, TX 76262-6790
(682) 237-2103
Mailing address
301 TROPHY LAKE DR, STE 128, TROPHY CLUB, TX 76262-5238
(682) 237-2103
(682) 803-0559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8216
TX
Other
Enumeration date
08/25/2015
Last updated
12/01/2020
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