Organization
EASTER W. TJANDRA, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EASTER WINDARTI TJANDRA OD (OWNER)
(972) 378-7979
Entity
Organization
Contact information
Practice address
301 COIT RD, PLANO, TX 75075-5711
(972) 378-7979
Mailing address
PO BOX 250226, PLANO, TX 75025-0226
(972) 378-7979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4355T
TX
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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