Organization
IDOC OPTICAL,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBA ESHRAGHI PARMER O.D. (OPTOMETRIST/OWNER)
(817) 703-3140
Entity
Organization
Contact information
Practice address
33 MAIN ST, SUITE 180, COLLEYVILLE, TX 76034-2979
(817) 605-6060
Mailing address
33 MAIN ST, SUITE 180, COLLEYVILLE, TX 76034-2979
(817) 605-6060
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5065TG
TX
Other
Enumeration date
10/11/2008
Last updated
10/11/2008
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