Provider Demographics
NPI:1336647791
Name:FIRST GLANCE VISION LLC
Entity Type:Organization
Organization Name:FIRST GLANCE VISION LLC
Other - Org Name:FIRST GLANCE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-566-2309
Mailing Address - Street 1:5001 BELLERIVE CT
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-5061
Mailing Address - Country:US
Mailing Address - Phone:214-566-2309
Mailing Address - Fax:
Practice Address - Street 1:782 E INTERSTATE 30
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5503
Practice Address - Country:US
Practice Address - Phone:214-566-2309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty