MEDICARE: VICKI VO OD

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	5758	TX

General Provider Information

NPI Number	:	1841326519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKI VO OD

Provider Business Mailing Address
First Line	:	5591 FAIRMONT PKWY
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-3807
Country	:	US
Telephone Number	:	281-487-0948
Fax Number	:

Provider Business Practice Location Address
First Line	:	5591 FAIRMONT PKWY
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-3807
Country	:	US
Telephone Number	:	281-487-0948
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	05/14/2021

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Directions to “ VICKI VO OD” Practice Location

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