| NPI | 1609047547 |
|---|---|
| Doing Business As | VISION SOURCE MISSOURI CITY |
| Entity Type | Organization |
| Authorized Contact | ANH DIEU DOAN President 281-261-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 4635TG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 4635TG) |
| 152WP0200X Optometrist, Pediatrics (Licence: TX 4635TG) | |
| 152WS0006X Optometrist, Sports Vision (Licence: TX 4635TG) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: TX 4635TG) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2014-01-24 |