Organization
JOHNSON DUBOSE FAMILY COMPANY LLC
Active
Other names
Bespoke Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN JOHNSON (GENERAL MANAGER)
(972) 703-9070
Entity
Organization
Contact information
Practice address
6757 ARAPAHO RD STE 707, DALLAS, TX 75248-4073
(972) 703-9070
Mailing address
6757 ARAPAHO RD STE 707, DALLAS, TX 75248-4073
(972) 703-9070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
09/19/2018
Last updated
02/25/2020
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