Organization
COLSTON EYE CARE, PLLC
Active
Other names
Eyes on Broad
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN DEAN COLSTON OD (OPTOMETRIST/OWNER)
(817) 301-5745
Entity
Organization
Contact information
Practice address
3150 E BROAD ST, STE 120, MANSFIELD, TX 76063
(817) 301-5745
Mailing address
5400 PRESTON OAKS RD APT 4014, DALLAS, TX 75254-8483
(817) 301-5745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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