Organization
GRAND PRAIRIE ADVANCED EYECARE INC
Active
Other names
Advanced Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PRICE O.D. (PRESIDENT)
(817) 905-0444
Entity
Organization
Contact information
Practice address
5224 TX SOUTH 360, SUITE 200, GRAND PRAIRIE, TX 75052
(972) 602-4545
(972) 602-4546
Mailing address
5224 TX SOUTH 360, SUITE 200, GRAND PRAIRIE, TX 75052
(972) 602-4545
(972) 602-4546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316869201
—
TX
Enumeration date
12/17/2012
Last updated
08/08/2013
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