Provider Demographics
NPI:1386644854
Name:BRIGHT EYE & VISION CONSULTANTS, P.A.
Entity Type:Organization
Organization Name:BRIGHT EYE & VISION CONSULTANTS, P.A.
Other - Org Name:BRIGHT EYE CARE & VISION DEVELOPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-313-1810
Mailing Address - Street 1:4427 HIGHWAY 6
Mailing Address - Street 2:SUITE L
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4424
Mailing Address - Country:US
Mailing Address - Phone:281-313-1810
Mailing Address - Fax:
Practice Address - Street 1:4427 HIGHWAY 6
Practice Address - Street 2:SUITE L
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4424
Practice Address - Country:US
Practice Address - Phone:281-313-1810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0045FEOtherBLUE CROSS BLUE SHIELD
TX0045FEOtherBLUE CROSS BLUE SHIELD