Organization
XTREME OPTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER DORSEY LICENSED OPTICIAN (SOLE MEMBER/OWNER)
(903) 641-0060
Entity
Organization
Contact information
Practice address
111 W 3RD AVE, SUITE D, CORSICANA, TX 75110-4667
(903) 641-0060
(866) 970-3838
Mailing address
111 W 3RD AVE, SUITE D, CORSICANA, TX 75110-4667
(903) 641-0060
(866) 970-3838
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DR4133
TX
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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