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Organization
PARK FOREST OPTICAL LLC
Active
Organization
PARK FOREST OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE CHONG OD (OWNER)
(214) 924-3341
Entity
Organization
Contact information
Practice address
11722 MARSH LN STE 350, DALLAS, TX 75229-2683
(214) 902-9779
(214) 902-8810
Mailing address
11722 MARSH LN STE 350, DALLAS, TX 75229-2683
(214) 902-9779
(214) 902-8810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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