Organization
ADVANCED VISIONCARE OF DESOTO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KEVIN SMITH (MANAGER)
(972) 223-5354
Entity
Organization
Contact information
Practice address
600 N HAMPTON RD, DESOTO, TX 75115-4508
(972) 223-5354
(972) 274-0607
Mailing address
600 N HAMPTON RD, DESOTO, TX 75115-4508
(972) 223-5354
(972) 274-0607
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4711T
TX
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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