Organization
MASTER OPTICS OPITCAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADDA O MEDINA (PRESIDENT)
(972) 243-3373
Entity
Organization
Contact information
Practice address
3128 FOREST LN, SUITE 252, DALLAS, TX 75234-7726
(972) 243-3373
Mailing address
3128 FOREST LN, SUITE 252, DALLAS, TX 75234-7726
(972) 243-3373
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
8710421
IL
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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