Provider Demographics
NPI:1164578597
Name:ACUVISION PA
Entity Type:Organization
Organization Name:ACUVISION PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:SUI
Authorized Official - Last Name:YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-446-0103
Mailing Address - Street 1:4537 PARK CT
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3713
Mailing Address - Country:US
Mailing Address - Phone:713-667-0675
Mailing Address - Fax:
Practice Address - Street 1:19623 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3500
Practice Address - Country:US
Practice Address - Phone:281-446-0103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2902 TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX093125501Medicaid
TX093125501Medicaid
TX00214XMedicare PIN
TX1795437Medicaid