Provider Demographics
NPI:1649371782
Name:TODAY'S VISION - DEERBROOK, P.C.
Entity type:Organization
Organization Name:TODAY'S VISION - DEERBROOK, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAVDA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-446-2020
Mailing Address - Street 1:20811 HIGHWAY 59 N STE 300
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-2260
Mailing Address - Country:US
Mailing Address - Phone:281-446-2020
Mailing Address - Fax:281-548-3411
Practice Address - Street 1:20811 HIGHWAY 59 N STE 300
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2260
Practice Address - Country:US
Practice Address - Phone:281-446-2020
Practice Address - Fax:281-548-3411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2295T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155717501Medicaid
TXT15357Medicare UPIN
TX155717501Medicaid