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Individual

DR. CHRISTOPHER A VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
15004 AVERY RANCH BLVD, SUITE 103, AUSTIN, TX 78717-4600
(512) 528-8299
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2240
CO
152W00000X
Optometrist
Primary
7484
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07484TG
OPTOMETRY LICENSE
TX
01
2240
STATE LISCENSURE NUMBER
CO
Enumeration date
02/07/2007
Last updated
05/26/2022
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