Organization
EYE C OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO ANTONIO DI PASCUALE M.D. (OWNER)
(915) 626-5225
Entity
Organization
Contact information
Practice address
2900 PERSHING DR STE A, EL PASO, TX 79903-2483
(915) 626-5225
(915) 626-5282
Mailing address
2900 PERSHING DR STE A, EL PASO, TX 79903-2483
(915) 626-5225
(915) 626-5282
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
N7917
TX
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
Update your record
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