Organization
LAS COLINAS VISION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN BOREN (OFFICE MANAGER)
(972) 717-4040
Entity
Organization
Contact information
Practice address
4030 N MACARTHUR BLVD STE 208, IRVING, TX 75038-6425
(972) 717-4040
(972) 650-1796
Mailing address
4030 N MACARTHUR BLVD STE 208, IRVING, TX 75038-6425
(972) 717-4040
(972) 650-1796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2928TG
TX
152W00000X
Optometrist
6272TG
TX
152WC0802X
Corneal and Contact Management Optometrist
Primary
2928TG
TX
152WC0802X
Corneal and Contact Management Optometrist
6272TG
TX
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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