Organization
BRAVE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY GRAY (PRESIDENT)
(214) 402-4423
Entity
Organization
Contact information
Practice address
601 W PLANO PKWY STE 141, PLANO, TX 75075-8968
(214) 402-4423
Mailing address
6579 MOUNTAIN SKY RD, FRISCO, TX 75034-1306
(214) 402-4423
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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