Organization
LA GRANGE EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA SOLLY OD (OWNER)
(979) 639-5104
Entity
Organization
Contact information
Practice address
657 E TRAVIS ST, B, LA GRANGE, TX 78945-2313
(979) 639-5104
Mailing address
657 E TRAVIS ST, B, LA GRANGE, TX 78945-2313
(979) 639-5104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6918
STATE OD LICENSE
TX
Enumeration date
07/17/2015
Last updated
07/30/2015
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