MEDICARE: GRACE VISION INC

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

General Provider Information

NPI Number	:	1518201540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE VISION INC

Provider Business Mailing Address
First Line	:	1700 COIT RD STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-6144
Country	:	US
Telephone Number	:	972-964-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 COIT RD STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-6144
Country	:	US
Telephone Number	:	972-964-3937
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GULREZ KHOJA
Credential	:
Telephone Number	:	713-401-8141

Provider Enumeration Date	:	11/15/2012
Last Update Date	:	02/13/2025

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Directions to “GRACE VISION INC ” Practice Location

Language	Start Address	Practice Location

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