Organization
FIVE POINTS OPTICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAUGHN P WITT (OWNER)
(361) 241-9357
Entity
Organization
Contact information
Practice address
4101 US HIGHWAY 77, STE B3, CORPUS CHRISTI, TX 78410-4542
(361) 241-9357
(361) 241-4461
Mailing address
4101 US HIGHWAY 77, STE B3, CORPUS CHRISTI, TX 78410-4542
(361) 241-9357
(361) 241-4461
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
02183TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093320201
—
TX
Enumeration date
06/09/2008
Last updated
06/09/2008
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