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General NPI Number Information
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NPI Number | 1770514275
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Entity Type | Organization
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Legal Business Name | HEALTHSYNC VISION CARE
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 1331 W GRAND PKWY N STE 145
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City | KATY
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State | TX
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Zip | 77493-2736
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Country | US
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Telephone | 832-436-0351
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Fax | 800-652-8206
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Provider Business Mailing Address
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Address Line | 1331 W GRAND PKWY N STE 145
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City | KATY
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State | TX
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Zip | 77493-2736
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Country | US
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Telephone | 832-436-0351
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Fax | 800-652-8206
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CAROL WILSON
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Credential |
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Telephone | 866-950-3627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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