Provider Demographics
NPI:1013358233
Name:INSPIRING VISION EYE CARE, LLC
Entity Type:Organization
Organization Name:INSPIRING VISION EYE CARE, LLC
Other - Org Name:VISION INSPIRED EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAVENEC
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-416-0265
Mailing Address - Street 1:27410 WOODED CANYON DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1580
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10605 SPRING GREEN BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1580
Practice Address - Country:US
Practice Address - Phone:713-416-0265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7082TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty