Organization
ROCKWALL VISION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA BIRKENBACK (OPERATIONS MANAGER)
(972) 722-6222
Entity
Organization
Contact information
Practice address
2827 RIDGE RD, ROCKWALL, TX 75032-5528
(972) 722-6222
Mailing address
2827 RIDGE RD, ROCKWALL, TX 75032-5528
(972) 722-6222
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45
156FX1800X
TX
Enumeration date
08/22/2016
Last updated
08/22/2016
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