Organization
ELITE EYES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALINA J KHAMVONGSA OD (OPTOMETRIST)
(682) 521-5676
Entity
Organization
Contact information
Practice address
12220 FM 423, FRISCO, TX 75033-5222
(214) 387-9880
(214) 387-9885
Mailing address
1913 BROWN STONE DR, PLANO, TX 75074-0184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8718T
TX
Other
Enumeration date
09/29/2017
Last updated
01/19/2018
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