Organization
PACIFIC EYE GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLSIE MCDONALD (CREDENTIALING MANAAGER)
(726) 444-4078
Entity
Organization
Contact information
Practice address
10104 SW WASHINGTON SQUARE RD SPC A02, TIGARD, OR 97223-4457
(503) 968-5249
(503) 968-5983
Mailing address
175 E HOUSTON ST, SAN ANTONIO, TX 78205-2255
(726) 444-4545
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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