Organization
BAL 4 EYES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A. FITCH O.D. (OWNER/PRESIDENT)
(806) 355-4407
Entity
Organization
Contact information
Practice address
7150 W INTERSTATE 40, AMARILLO, TX 79106-2503
(806) 355-4407
Mailing address
7150 W INTERSTATE 40, AMARILLO, TX 79106-2503
(806) 355-4407
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1207180001
TX
Other
Enumeration date
08/29/2006
Last updated
03/26/2008
Update your record
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