Organization
FREEDOM EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOROUSH AZADI O.D. (PRESIDENT)
(512) 916-4600
Entity
Organization
Contact information
Practice address
4211 S LAMAR, AUSTIN, TX 78704
(512) 916-4600
Mailing address
4211 S LAMAR BLVD, STE E-3, AUSTIN, TX 78704-7996
(512) 916-4600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6642
TX
Other
Enumeration date
06/15/2012
Last updated
09/12/2012
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