Organization
MAKEIDEA
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DIPEN PATEL (MANAGER/OWNER)
(908) 240-2872
Entity
Organization
Contact information
Practice address
3170 FM 407, SUITE 405, HIGHLAND VILLAGE, TX 75077-7049
(940) 241-7172
Mailing address
450 MARSHALL WAY, LANTANA, TX 76226-6592
(908) 552-4726
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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