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Organization

KJK EYE CARE LLC

Active
Other names
Southlake Family Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
KIM KOOGLER BS, CPO (OFFICE MANAGER)
(817) 481-1665
Entity
Organization

Contact information

Practice address
510 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6579
(817) 481-1665
(817) 329-7613
Mailing address
510 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6579
(817) 481-1665
(817) 329-7613

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5135TG
TX

Other

Enumeration date
09/04/2007
Last updated
06/28/2022
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