Provider Demographics
NPI:1356092803
Name:NET VISION CARE LLC
Entity Type:Organization
Organization Name:NET VISION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD OF DIRECTORS
Authorized Official - Prefix:DR
Authorized Official - First Name:TORREY
Authorized Official - Middle Name:JON
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:142-329-2631
Mailing Address - Street 1:3315 CHARTREUSE WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6857
Mailing Address - Country:US
Mailing Address - Phone:423-292-6312
Mailing Address - Fax:
Practice Address - Street 1:750 SUNLAND PARK DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6709
Practice Address - Country:US
Practice Address - Phone:915-833-1076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty