Organization
TIMES SQUARE OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A FUENTES R.PH., ABOC (CHIEF EXECUTIVE OFFICER)
(956) 693-0899
Entity
Organization
Contact information
Practice address
7917 MCPHERSON RD STE 206, LAREDO, TX 78045-2812
(956) 284-0781
Mailing address
7917 MCPHERSON RD STE 206, LAREDO, TX 78045-2812
(956) 284-0781
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
09/04/2015
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