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NPI Code Detail

MEDICARE: TODAYS VISION BUNKER HILL PA

MEDICARE: TODAYS VISION BUNKER HILL PA
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
1152W00000XOptometrist4659TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14659TGOTHERTXOPTOMETRY LICENSE

General Provider Information

NPI Number : 1780916650
Entity Type Code : Organization
Provider Name (Legal Business Name) : TODAYS VISION BUNKER HILL PA
Provider Business Mailing Address
First Line : 9742 KATY FWY
Second Line : SUITE 600
City : HOUSTON
State : TX
Zip : 77055-6209
Country : US
Telephone Number : 713-464-3937
Fax Number : 281-558-7099
Provider Business Practice Location Address
First Line : 9742 KATY FWY
Second Line : SUITE 600
City : HOUSTON
State : TX
Zip : 77055-6209
Country : US
Telephone Number : 713-464-3937
Fax Number : 281-558-7099
Authorized Official
Title or Position : DOCTOR OF OPTOMETRY
Name : MARK J. HARRIS
Credential : O.D.
Telephone Number : 713-464-3937
Provider Enumeration Date : 02/03/2010
Last Update Date : 09/07/2022

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Directions to “TODAYS VISION BUNKER HILL PA ” Practice Location

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