Provider Demographics
NPI:1538558200
Name:VP VISION INC
Entity type:Organization
Organization Name:VP VISION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIETT
Authorized Official - Middle Name:PHAN
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-423-9532
Mailing Address - Street 1:12414 BRUNS GLEN LN
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-1490
Mailing Address - Country:US
Mailing Address - Phone:713-423-9532
Mailing Address - Fax:888-847-9660
Practice Address - Street 1:12414 BRUNS GLEN LN
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-1490
Practice Address - Country:US
Practice Address - Phone:713-423-9532
Practice Address - Fax:888-847-9660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-17
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6784TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty