Organization
DUA OPTICAL MANAGEMENT LLC
Active
Other names
My Eye Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING MANAGER)
(561) 433-6009
Entity
Organization
Contact information
Practice address
2510 N JOSEY LN STE 100&104, CARROLLTON, TX 75006-1672
(561) 275-2020
Mailing address
2510 N JOSEY LN STE 100, CARROLLTON, TX 75006-1661
(469) 491-1414
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
02/17/2021
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