Organization
PROFIT OPTIX
Active
Other names
Advantica Lab system
Organization subpart
No
Provider details
NPI number
Authorized official
HOA NGUYEN (VP OF TECHNOLOGY)
(817) 251-4333
Entity
Organization
Contact information
Practice address
512 E DALLAS RD STE 200, GRAPEVINE, TX 76051-7661
(817) 251-4333
Mailing address
512 E DALLAS RD STE 200, GRAPEVINE, TX 76051-7661
(817) 251-4333
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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