Organization
KENT WISE OD PA
Active
Other names
Vision City
Organization subpart
No
Provider details
NPI number
Authorized official
KENT B WISE OD (OD PRESIDENT)
(817) 426-6060
Entity
Organization
Contact information
Practice address
1169 N BURLESON BLVD, SUITE 131, BURLESON, TX 76028
(817) 426-6060
(817) 426-2978
Mailing address
1169 N BURLESON BLVD, SUITE 131, BURLESON, TX 76028
(817) 426-6060
(817) 426-2978
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX4896
TX
152W00000X
Optometrist
—
—
Other
Enumeration date
03/05/2007
Last updated
02/06/2009
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