MEDICARE: VISION CENTER OF MAGNOLIA, P.C.

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	3871TG	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DB5070	OTHER	TX	PALMETTO DBA MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	465178575	OTHER	TX	TRICARE
2	36FD	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1497748388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION CENTER OF MAGNOLIA, P.C.

Provider Business Mailing Address
First Line	:	306 MAGNOLIA BLVD
Second Line	:
City	:	MAGNOLIA
State	:	TX
Zip	:	77355-8535
Country	:	US
Telephone Number	:	281-259-2020
Fax Number	:	281-259-6866

Provider Business Practice Location Address
First Line	:	306 MAGNOLIA BLVD
Second Line	:
City	:	MAGNOLIA
State	:	TX
Zip	:	77355-8535
Country	:	US
Telephone Number	:	281-259-2020
Fax Number	:	281-259-6866

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RHONDA MANUEL-SALDIVAR
Credential	:	O.D.
Telephone Number	:	281-259-2020

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	04/23/2008

Similar Medicare Providers

1841524063 — MR. VINCENT WING-WAH LAM O.D.
Practice Location Address:

306 MAGNOLIA BLVD
MAGNOLIA, TX
77355-8535

Practice Phone: 281-259-2020
Practice Fax:

1730701442 — VERTEX VISION
Practice Location Address:

306 MAGNOLIA BLVD
MAGNOLIA, TX
77355-8535

Practice Phone: 281-259-2020
Practice Fax:

1104490846 — DR. DAVID CHAVEZ JR. OD
Practice Location Address:

306 MAGNOLIA BLVD
MAGNOLIA, TX
77355-8535

Practice Phone: 281-259-2020
Practice Fax:

1326803487 — KRUPA PATEL CNP
Practice Location Address:

31350 FRIENDSHIP DR
MAGNOLIA, TX
77355-3076

Practice Phone: 281-377-6140
Practice Fax:

1174167654 — CHAQUOYA MOULDIN
Practice Location Address:

26570 DECKER FARMS LANE
MAGNOLIA, TX
77355

Practice Phone: 346-277-8047
Practice Fax:

1205825841 — DR. PAUL JAMES DIBBLE M.D.
Practice Location Address:

827 S MAGNOLIA BLVD SUITE 6
MAGNOLIA, TX
77355

Practice Phone: 281-259-7400
Practice Fax: 888-502-3566

Directions to “VISION CENTER OF MAGNOLIA, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.