Provider Demographics
NPI:1093083636
Name:US VISION GROUP LLC
Entity Type:Organization
Organization Name:US VISION GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TASNEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAMDANI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:505-232-2020
Mailing Address - Street 1:1515 N TOWN EAST BLVD
Mailing Address - Street 2:SUITE 523B
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4157
Mailing Address - Country:US
Mailing Address - Phone:972-638-8600
Mailing Address - Fax:
Practice Address - Street 1:1515 N TOWN EAST BLVD
Practice Address - Street 2:SUITE 523B
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4157
Practice Address - Country:US
Practice Address - Phone:972-638-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-10
Last Update Date:2011-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7845T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty