Organization
PACIFIC EYE GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLSIE MCDONALD (CREDENTIALING MANAGER)
(726) 444-4078
Entity
Organization
Contact information
Practice address
18070 NW EVERGREEN PKWY, BEAVERTON, OR 97006-7451
(503) 645-5076
(503) 617-7597
Mailing address
175 E HOUSTON ST, SAN ANTONIO, TX 78205-2255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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