Individual
DR. ELIAS L GEORGOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2959 S BUCKNER BLVD, STE 700, DALLAS, TX 75227-6945
(214) 239-2176
(214) 239-2177
Mailing address
11820 WILSHIRE AVE NE, ALBUQUERQUE, NM 87122-1578
(505) 363-5276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10234692-8908
UT
152W00000X
Optometrist
10234692-9934
UT
152W00000X
Optometrist
Primary
9126T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301821003
—
TX
05
—
301821005
—
TX
05
—
369734401
—
TX
05
—
369734402
—
TX
Enumeration date
03/12/2017
Last updated
09/17/2024
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