Organization
AUSTIN FAMILY EYECARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN P. WISHOFF O.D. (CEO)
(512) 791-3736
Entity
Organization
Contact information
Practice address
2800 S IH 35 STE 126, AUSTIN, TX 78704-5700
(512) 791-3736
Mailing address
805 PAISLEY DR, 14, BRIARCLIFF, TX 78669-2432
(512) 791-3736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1877235 01
TPI
TX
Enumeration date
09/24/2007
Last updated
10/04/2013
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