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Organization
PARK FOREST EYE CARE, PLLC
Active
Organization
PARK FOREST EYE CARE, PLLC
Active
Other names
First Eye Care Park Forest
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI MARIE BOURQUE-WIMBISH OD (OWNER)
(972) 241-8084
Entity
Organization
Contact information
Practice address
11888 MARSH LN, SUITE 414, DALLAS, TX 75234-8083
(972) 960-2020
Mailing address
11888 MARSH LN STE 414, DALLAS, TX 75234-8083
(972) 241-8084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5376TG
TX
Other
Enumeration date
10/12/2015
Last updated
02/01/2016
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