Organization
OCULUS VALLEY RANCH TOWN CENTER, LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SUPERVISOR)
(561) 433-6009
Entity
Organization
Contact information
Practice address
12029 N GRAND PARKWAY E, SUITE 200, NEW CANEY, TX 77357
(346) 600-9260
(561) 828-8367
Mailing address
20115 STUEBNER AIRLINE RD, SPRING, TX 77379-5430
(346) 600-9260
(561) 828-8367
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
02/17/2021
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