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Ayala Vista Eyecare Pllc

NPI Registration Record

Provider / OrganizationNPIDate Certified
AYALA VISTA EYECARE PLLC13761524132020-07-26
Entity TypeOrganization
Provider OrganizationAYALA VISTA EYECARE PLLC
Practice Office Address11670 PINEMONT RD
CLEVELAND, TX US
Practice Office Telephone8329604261
Practice Office Fax3464140048
Mailing Address11670 PINEMONT RD
CLEVELAND, TX 773287237 US
Business Telephone8329604261
Business Fax3464140048
Authorized OfficialCLARISSA PRIETO AYALA, OPTOMETRIST
8329604261
HPT Codes
CodeLicense NoState
152W00000X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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