Organization
JT JOLLY GOOD EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BRUEGGEMANN O.D. (OPTOMETRIST/CO-OWNER)
(469) 693-1426
Entity
Organization
Contact information
Practice address
12625 N IH 35, AUSTIN, TX 78753-1074
(512) 293-7587
(512) 989-2879
Mailing address
14900 AVERY RANCH BLVD, STE C200, #308, AUSTIN, TX 78717-3951
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7467TG
TX
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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