Organization
CARLENS LUXURY OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD CARMONA D.O (OWNER)
(972) 824-0325
Entity
Organization
Contact information
Practice address
8020 PARK LN, SUITE 110, DALLAS, TX 75231-6055
(972) 824-4204
Mailing address
8020 PARK LN, SUITE 110, DALLAS, TX 75231-6055
(972) 824-4204
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
223731
TX
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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