Organization
LIGHTHOUSE EYE CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA PARK (OFFICER)
(972) 334-9095
Entity
Organization
Contact information
Practice address
8080 INDEPENDENCE PARKWAY, SUITE 100, PLANO, TX 75025
(972) 334-9095
Mailing address
2930 PRESTON RD STE 905, FRISCO, TX 75034-9056
(972) 334-9095
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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