Individual
MARY LAUREN EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9600 SOUTH IH 35 SB S#225, AUSTIN, TX 78748
(512) 291-0876
Mailing address
9600 SOUTH IH 35 SB S#225, AUSTIN, TX 78748
(512) 291-0876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1836-770AT
LA
152W00000X
Optometrist
2844
OK
152W00000X
Optometrist
Primary
9068TG
TX
Other
Enumeration date
06/04/2015
Last updated
07/21/2022
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