Provider Demographics
NPI:1417142621
Name:SUGAR LAND VISION CENTER, PC
Entity Type:Organization
Organization Name:SUGAR LAND VISION CENTER, PC
Other - Org Name:PEARLE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-980-3937
Mailing Address - Street 1:1875 HWY 6 SOUTH
Mailing Address - Street 2:800
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478
Mailing Address - Country:US
Mailing Address - Phone:281-980-3937
Mailing Address - Fax:281-313-0505
Practice Address - Street 1:1875 HIGHWAY 6 SOUTH
Practice Address - Street 2:800
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-980-3937
Practice Address - Fax:281-313-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5441TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty