Healthcare Provider Details

I. General information

NPI: 1295135267
Provider Name (Legal Business Name): LOOK SEE VISION CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2014
Last Update Date: 05/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 S 1ST ST SUITE 104
AUSTIN TX
78704-5141
US

IV. Provider business mailing address

2007 S 1ST ST SUITE 104
AUSTIN TX
78704-5141
US

V. Phone/Fax

Practice location:
  • Phone: 512-774-6002
  • Fax: 512-774-5975
Mailing address:
  • Phone: 512-774-6002
  • Fax: 512-774-5975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number8425-TG
License Number StateTX

VIII. Authorized Official

Name: TAMMY M. VO
Title or Position: OD/OWNER
Credential: OD/OWNER
Phone: 281-743-1129