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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
Update your record

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