Organization
PREMIER EYEWEAR
Active
Other names
Premier Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLANCA E. LICON (OPTICIAN)
(915) 855-4244
Entity
Organization
Contact information
Practice address
1830 GEORGE DIETER DR STE 103, EL PASO, TX 79936-4305
(915) 855-4244
Mailing address
1830 GEORGE DIETER DR STE 103, EL PASO, TX 79936-4305
(915) 855-4244
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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