MEDICARE: TC VISION QUEST

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	6218TG	TX

General Provider Information

NPI Number	:	1386779213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TC VISION QUEST

Provider Business Mailing Address
First Line	:	10401 RESEARCH BLVD STE A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-5712
Country	:	US
Telephone Number	:	512-372-9975
Fax Number	:

Provider Business Practice Location Address
First Line	:	10401 RESEARCH BLVD STE A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-5712
Country	:	US
Telephone Number	:	512-372-9975
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. CHRISTINE HO
Credential	:	O.D.
Telephone Number	:	512-372-9975

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	08/22/2020

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Directions to “TC VISION QUEST ” Practice Location

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