Provider Demographics
NPI:1194835983
Name:PEARLAND VISION CENTER INCORPORATED
Entity Type:Organization
Organization Name:PEARLAND VISION CENTER INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:281-485-5591
Mailing Address - Street 1:2006 N MAIN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-3308
Mailing Address - Country:US
Mailing Address - Phone:281-485-5591
Mailing Address - Fax:281-485-6455
Practice Address - Street 1:2006 N MAIN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-3308
Practice Address - Country:US
Practice Address - Phone:281-485-5591
Practice Address - Fax:281-485-6455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier