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NPI Code Detail

MEDICARE: TRU VISION INC

MEDICARE: TRU 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
1332H00000XEyewear Supplier02523TGTX
2152W00000XOptometrist2523TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629190475
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRU VISION INC
Provider Business Mailing Address
First Line : 11159 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77042-3218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11159 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77042-3218
Country : US
Telephone Number : 713-978-7504
Fax Number : 713-266-5828
Authorized Official
Title or Position : OFFICE MANAGER
Name : DIANA DELEON
Credential :
Telephone Number : 713-978-7504
Provider Enumeration Date : 04/04/2007
Last Update Date : 08/11/2010

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Directions to “TRU VISION INC ” Practice Location

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