MEDICARE: VISION OPTIQUE PC

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
1	152W00000X	Optometrist	5594TG	TX

General Provider Information

NPI Number	:	1154507028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION OPTIQUE PC

Provider Business Mailing Address
First Line	:	2900 WESLAYAN ST STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5150
Country	:	US
Telephone Number	:	713-838-2047
Fax Number	:	713-838-2030

Provider Business Practice Location Address
First Line	:	2900 WESLAYAN ST STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5150
Country	:	US
Telephone Number	:	713-838-2047
Fax Number	:	713-838-2030

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRIDGITTE LEE
Credential	:	O.D.
Telephone Number	:	713-838-2020

Provider Enumeration Date	:	01/10/2008
Last Update Date	:	12/18/2024

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Directions to “VISION OPTIQUE PC ” Practice Location

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