MEDICARE: HI-Q VISION

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	05598T	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0020FF	OTHER	TX	BLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number	:	1215059779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HI-Q VISION

Provider Business Mailing Address
First Line	:	10515 BELLAIRE BLVD
Second Line	:	SUITE G
City	:	HOUSTON
State	:	TX
Zip	:	77072-5234
Country	:	US
Telephone Number	:	281-564-5588
Fax Number	:	281-564-0521

Provider Business Practice Location Address
First Line	:	10515 BELLAIRE BLVD
Second Line	:	SUITE G
City	:	HOUSTON
State	:	TX
Zip	:	77072-5234
Country	:	US
Telephone Number	:	281-564-5588
Fax Number	:	281-564-0521

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HOA K. TO
Credential	:	O.D.
Telephone Number	:	281-564-5588

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	06/21/2018

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Directions to “HI-Q VISION ” Practice Location

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