Organization
EYE AND VISION MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGUSTIN L GONZALEZ OD (PARTNER)
(972) 423-3937
Entity
Organization
Contact information
Practice address
3417 SPECTRUM BLVD, SUITE 100, RICHARDSON, TX 75082-9705
(972) 423-3937
Mailing address
3417 SPECTRUM BLVD, SUITE 100, RICHARDSON, TX 75082-9705
(972) 423-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4044TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453227
—
TX
Enumeration date
07/26/2007
Last updated
07/26/2007
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