Organization
ADVANCED VISIONCARE OF FORT WORTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KEVIN SMITH (MANAGER)
(817) 370-2100
Entity
Organization
Contact information
Practice address
4919 S HULEN ST, FORT WORTH, TX 76132-1407
(817) 370-2100
(817) 539-8035
Mailing address
4919 S HULEN ST, FORT WORTH, TX 76132-1407
(817) 370-2100
(817) 539-8035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4711T
TX
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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