Organization
OCULENS OF GARLAND INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER D. CORLEY (OWNER)
(972) 494-2830
Entity
Organization
Contact information
Practice address
1626 FOREST LN S, SUITE A, GARLAND, TX 75042-7961
(972) 494-2830
Mailing address
1626 FOREST LN S, SUITE A, GARLAND, TX 75042-7961
(972) 494-2830
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
751617934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0866394-01
—
TX
Enumeration date
03/29/2007
Last updated
07/07/2008
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