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Organization

EYES ON MAIN STREET, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIEM THUY HONG NGUYEN O.D. (PRESIDENT)
(817) 605-6060
Entity
Organization

Contact information

Practice address
33 MAIN ST STE 180, COLLEYVILLE, TX 76034-2983
(817) 605-6060
(817) 656-5050
Mailing address
33 MAIN ST STE 180, COLLEYVILLE, TX 76034-2983
(817) 605-6060
(817) 656-5050

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05785TG
TX

Other

Enumeration date
10/13/2011
Last updated
10/13/2011
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