Organization
FULL VISION OPTICAL & REPAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR IVAN VENEGAS OD (OWNER)
(915) 226-4999
Entity
Organization
Contact information
Practice address
896 HORIZON BLVD, SOCORRO, TX 79927-4787
(915) 226-4999
Mailing address
13299 MORISSEY WAY, EL PASO, TX 79928-5830
(915) 226-4999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
B0115-2733
TX
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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