Organization
20-20 VISION CLINIC, LLP
Active
Other names
Eye Associates of Grapevine
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L LATHAM OD (MANAGING PARTNER)
(817) 488-4893
Entity
Organization
Contact information
Practice address
819 IRA E WOODS AVE, GRAPEVINE, TX 76051-4012
(817) 488-4893
(817) 488-5939
Mailing address
819 IRA E WOODS AVE, GRAPEVINE, TX 76051-4012
(817) 488-4893
(817) 488-5939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
TX
Other
Enumeration date
03/08/2007
Last updated
07/07/2016
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