Provider Demographics
NPI:1861151201
Name:APEX VISUAL PERFORMANCE AND LEARNING CENTER
Entity type:Organization
Organization Name:APEX VISUAL PERFORMANCE AND LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANUSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:979-541-2739
Mailing Address - Street 1:2173 ROCKCLIFFE LOOP
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-4853
Mailing Address - Country:US
Mailing Address - Phone:281-813-5068
Mailing Address - Fax:
Practice Address - Street 1:1605 ROCK PRAIRIE RD STE 214
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8358
Practice Address - Country:US
Practice Address - Phone:979-541-2739
Practice Address - Fax:979-541-2739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty