Provider Demographics
NPI:1972929727
Name:GAROFALO, RENEE J (OD)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:J
Last Name:GAROFALO
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:6300 GREENBRIAR LANE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132
Mailing Address - Country:US
Mailing Address - Phone:817-751-9321
Mailing Address - Fax:817-615-4602
Practice Address - Street 1:6201 S. FREEWAY, TC-44
Practice Address - Street 2:ALCON RESEARCH, LTD.
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76134-2099
Practice Address - Country:US
Practice Address - Phone:817-615-2712
Practice Address - Fax:817-615-4602
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2017-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX3634-TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist