Provider Demographics
NPI:1407258650
Name:LE VISION PRESTIGE EYECARE LLC
Entity Type:Organization
Organization Name:LE VISION PRESTIGE EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OD
Authorized Official - Prefix:
Authorized Official - First Name:TUAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-496-9615
Mailing Address - Street 1:1809 ELDRIDGE PKWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2549
Mailing Address - Country:US
Mailing Address - Phone:281-496-9615
Mailing Address - Fax:281-496-9685
Practice Address - Street 1:1809 ELDRIDGE PKWY
Practice Address - Street 2:SUITE 107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2549
Practice Address - Country:US
Practice Address - Phone:281-496-9615
Practice Address - Fax:281-496-9685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty