Organization
BLUE MOON OPTICAL
Active
Other names
Blue Moon Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PATRICK DUFFY DO (OWNER)
(805) 710-2445
Entity
Organization
Contact information
Practice address
121 W SAN ANTONIO ST, SAN MARCOS, TX 78666-5551
(805) 710-2445
Mailing address
10800 RIVER PLANTATION DR, AUSTIN, TX 78747-1482
(805) 710-2445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
189067
TX
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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