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Organization

EYEMAX FAMILY VISION PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MALIK MAMDANI (AUTHORIZED OFFICIAL)
(972) 850-8001
Entity
Organization

Contact information

Practice address
1515 N TOWN EAST BLVD STE 523, MESQUITE, TX 75150-4198
(972) 638-8600
(972) 372-0240
Mailing address
10414 CRESTOVER DR, DALLAS, TX 75229-5215
(972) 850-8001

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6162-TG
TX
152WC0802X
Corneal and Contact Management Optometrist
6162-TG
TX
156FC0800X
Contact Lens Technician/Technologist
156FC0801X
Contact Lens Fitter
156FX1800X
Optician

Other

Enumeration date
09/14/2017
Last updated
11/15/2023
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