Provider Demographics
NPI:1033520242
Name:VISION VERITAS, PLLC
Entity Type:Organization
Organization Name:VISION VERITAS, PLLC
Other - Org Name:VISION VERITAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:B
Authorized Official - Last Name:CARLEO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-810-1788
Mailing Address - Street 1:15123 PRESTONWOOD BLVD
Mailing Address - Street 2:STE. 102
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248
Mailing Address - Country:US
Mailing Address - Phone:214-810-1788
Mailing Address - Fax:
Practice Address - Street 1:15123 PRESTONWOOD BLVD
Practice Address - Street 2:STE. 102
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248
Practice Address - Country:US
Practice Address - Phone:214-810-1788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7743TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXV138569Medicare PIN
TXTXB113701Medicare PIN