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NPI Code Detail

MEDICARE: VISION CARE CENTER LLC

MEDICARE: VISION CARE CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist6641TTX

General Provider Information

NPI Number : 1982814356
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISION CARE CENTER LLC
Provider Business Mailing Address
First Line : 2305 LAKE SHORE DR
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-2812
Country : US
Telephone Number : 281-337-8600
Fax Number : 281-337-8601
Provider Business Practice Location Address
First Line : 1701 W FM 646 RD
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-4968
Country : US
Telephone Number : 281-337-8600
Fax Number : 281-337-8601
Authorized Official
Title or Position : CO-OWNER
Name : DR. HUONG H HA
Credential : O.D
Telephone Number : 281-337-8600
Provider Enumeration Date : 05/23/2007
Last Update Date : 03/12/2012

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Directions to “VISION CARE CENTER LLC ” Practice Location

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