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Organization

EYE COUNTRY PLLC

Active
Other names
Hans Oosterbaan, OD
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAWN SMITH (OFFICE MANAGER)
(830) 997-0131
Entity
Organization

Contact information

Practice address
1102 NORTH LLANO STREET, SUITE A, FREDERICKSBURG, TX 78624-5449
(830) 997-0131
(866) 897-9855
Mailing address
1102 NORTH LLANO STREET, SUITE A, FREDERICKSBURG, TX 78624-5449
(830) 997-0131
(866) 897-9855

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4526TG
TX
332H00000X
Eyewear Supplier
4526TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093435802
TX
Enumeration date
12/27/2007
Last updated
09/30/2015
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