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Organization

JAK OPTICAL, LLC

Active
Parent organization
JUDITH A KIRBY MD PA
Other names
Kirby Eye Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
JUDITH A KIRBY MD PA
Authorized official
DR. JUDITH ANNE KIRBY MD (OWNER/PHYSICIAN)
(214) 202-6003
Entity
Organization

Contact information

Practice address
9301 N CENTRAL EXPY, STE 180 TOWER II, DALLAS, TX 75231-0821
(214) 253-0202
(214) 253-0203
Mailing address
9301 N CENTRAL EXPY, STE 180 TOWER II, DALLAS, TX 75231-0821
(214) 253-0200
(214) 253-0201

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/21/2016
Last updated
08/04/2016
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