Organization
DUA OPTICAL MANAGEMENT LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SUPERVISOR)
(561) 433-6009
Entity
Organization
Contact information
Practice address
655 W ILLINOIS AVE STE 1090, DALLAS, TX 75224-1814
(561) 275-2020
Mailing address
2510 N JOSEY LN STE 100, CARROLLTON, TX 75006-1661
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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