Organization
JOHNATHAN CARROLL O.D. PLLC
Active
Other names
Double Creek Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNATHAN MARVIN CARROLL O.D. (OWNER)
(512) 898-9995
Entity
Organization
Contact information
Practice address
2681 GATTIS SCHOOL RD STE 100, ROUND ROCK, TX 78664-2057
(512) 898-9995
(512) 898-9994
Mailing address
2681 GATTIS SCHOOL RD STE 100, ROUND ROCK, TX 78664-2057
(512) 898-9995
(512) 898-9994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8104TG
TX
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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