Provider Demographics
NPI:1396196531
Name:BETHEL VISION CARE, PLLC
Entity Type:Organization
Organization Name:BETHEL VISION CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:956-200-2020
Mailing Address - Street 1:8001 N 10TH ST STE 140
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-9490
Mailing Address - Country:US
Mailing Address - Phone:956-200-2020
Mailing Address - Fax:956-340-4278
Practice Address - Street 1:8001 N 10TH ST STE 140
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-9490
Practice Address - Country:US
Practice Address - Phone:956-200-2020
Practice Address - Fax:956-340-4278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4965TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty