Organization
ELITE VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA L HENTZ OD (OPTOMETRIST)
(817) 200-3939
Entity
Organization
Contact information
Practice address
5335 W SUBLETT RD STE 131, ARLINGTON, TX 76017-1184
(817) 200-3939
Mailing address
PO BOX 8095, FORT WORTH, TX 76124-0095
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
04/23/2021
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