Organization
2020 EYEDR
Active
Other names
Southlake Eyes Now
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOJ ABRAHAM OD (OPTOMETRIST)
(630) 452-6290
Entity
Organization
Contact information
Practice address
1251 E SOUTHLAKE BLVD, SUITE 331, SOUTHLAKE, TX 76092-6478
(630) 452-6290
(888) 619-2009
Mailing address
1505 STONE DR, CARROLLTON, TX 75010-1147
(630) 452-6290
(888) 619-2009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8563
TX
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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