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Organization
MODERN VISION GROUP, PLLC
Active
Organization
MODERN VISION GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL JUEL BRINCHMAN O.D. (MANAGER)
(512) 927-6947
Entity
Organization
Contact information
Practice address
3908 FAR W BLVD, AUSTIN, TX 78731
(512) 343-0432
(512) 583-0588
Mailing address
3908 FAR W BLVD, AUSTIN, TX 78731
(512) 343-0432
(512) 583-0588
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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