Organization
PROMENADE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANON TREYBIG (MANAGER)
(972) 238-0815
Entity
Organization
Contact information
Practice address
650 N COIT RD, #2325, RICHARDSON, TX 75080-5406
(972) 238-0815
(972) 238-5458
Mailing address
650 N COIT RD, #2325, RICHARDSON, TX 75080-5406
(972) 238-0815
(972) 238-5458
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
05/07/2008
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