Organization
DR. KENNETH D. GALLINGER
Active
Other names
ClearVision Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA KAY PEREZ (MANAGER)
(210) 333-7777
Entity
Organization
Contact information
Practice address
12215 TOEPPERWEIN RD, SUITE 200, LIVE OAK, TX 78233-3149
(210) 590-3333
(210) 590-3142
Mailing address
12215 TOEPPERWEIN RD, SUITE 200, LIVE OAK, TX 78233-3149
(210) 590-3333
(210) 590-3142
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02663T
TX
152WC0802X
Corneal and Contact Management Optometrist
02663T
TX
152WV0400X
Vision Therapy Optometrist
02663T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019183501
—
TX
Enumeration date
03/06/2008
Last updated
05/29/2008
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