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Organization
OPTIQUE EYE CARE, PLLC
Active
Organization
OPTIQUE EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTARO KIKUCHI O.D. (OPTOMETRIST)
(210) 232-8975
Entity
Organization
Contact information
Practice address
15069 IH 35 N, SELMA, TX 78154-3312
(210) 232-8975
Mailing address
15069 IH 35 N, SELMA, TX 78154-3312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6896TG
TX
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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