Provider Demographics
NPI:1427225218
Name:VORSTER & ASSOCIATES PC
Entity Type:Organization
Organization Name:VORSTER & ASSOCIATES PC
Other - Org Name:DOCTORS EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:VORSTER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:409-385-2811
Mailing Address - Street 1:710 HIGHWAY 327 E
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-5022
Mailing Address - Country:US
Mailing Address - Phone:409-385-2811
Mailing Address - Fax:409-385-6696
Practice Address - Street 1:710 HIGHWAY 327 E
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-5022
Practice Address - Country:US
Practice Address - Phone:409-385-2811
Practice Address - Fax:409-385-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3287T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197071701Medicaid
TX00Z279Medicare PIN
TX197071701Medicaid
TX6198930001Medicare NSC