Organization
S & A OPTICAL
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER NASON (PRESIDENT)
(817) 534-4700
Entity
Organization
Contact information
Practice address
309 S OAKLAND BLVD, FORT WORTH, TX 76103-3762
(817) 534-4700
(817) 531-2534
Mailing address
309 S OAKLAND BLVD, FORT WORTH, TX 76103-3762
(817) 534-4700
(817) 531-2534
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019759201
—
TX
Enumeration date
09/19/2008
Last updated
09/19/2008
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