Provider Demographics
NPI:1083829253
Name:VISUAL ACCENTS OPTICAL
Entity Type:Organization
Organization Name:VISUAL ACCENTS OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SCHECTER
Authorized Official - Suffix:
Authorized Official - Credentials:MDPA
Authorized Official - Phone:915-581-0958
Mailing Address - Street 1:1220 N OREGON ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4024
Mailing Address - Country:US
Mailing Address - Phone:915-533-6684
Mailing Address - Fax:
Practice Address - Street 1:1220 N OREGON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4024
Practice Address - Country:US
Practice Address - Phone:915-533-6684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0898140001Medicare ID - Type Unspecified