Provider Demographics
NPI:1053056119
Name:SPRING FAMILY VISION, PLLC
Entity Type:Organization
Organization Name:SPRING FAMILY VISION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DRIGGERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-222-5339
Mailing Address - Street 1:1600 SPRINGWOODS PLAZA DR APT 232
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1820
Mailing Address - Country:US
Mailing Address - Phone:407-222-5339
Mailing Address - Fax:
Practice Address - Street 1:2901 RILEY FUZZEL RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4489
Practice Address - Country:US
Practice Address - Phone:407-222-5339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty