Organization
ENVISION 20-20 ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VU LAM (PRESIDENT)
(214) 337-0530
Entity
Organization
Contact information
Practice address
1521 COCKRELL HILL RD, DALLAS, TX 75211-1315
(214) 337-0530
Mailing address
1632 LOMAR DR, CARROLLTON, TX 75007-1475
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6490T
TX
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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