Provider Demographics
NPI:1255691903
Name:NIRMALA VISION PLLC
Entity Type:Organization
Organization Name:NIRMALA VISION PLLC
Other - Org Name:GLAUCOMA AND CATARACT INSTITUTE OF DALLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:BIPIN
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-835-1689
Mailing Address - Street 1:24107 VIRTUOSO
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-2117
Mailing Address - Country:US
Mailing Address - Phone:863-835-1689
Mailing Address - Fax:
Practice Address - Street 1:1330 N BECKLEY AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1271
Practice Address - Country:US
Practice Address - Phone:863-835-1689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0347207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty