Healthcare Provider Details

I. General information

NPI: 1730701442
Provider Name (Legal Business Name): VERTEX VISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 MAGNOLIA BLVD
MAGNOLIA TX
77355-8535
US

IV. Provider business mailing address

2211 VILLAGE DALE AVE
HOUSTON TX
77059-3591
US

V. Phone/Fax

Practice location:
  • Phone: 281-259-2020
  • Fax:
Mailing address:
  • Phone: 832-605-7103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: VINCENT LAM
Title or Position: MANAGING MEMBER
Credential: O.D.
Phone: 832-605-7103