Provider Demographics
NPI:1487868238
Name:VISION I CARE INC
Entity Type:Organization
Organization Name:VISION I CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VAN
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-941-6662
Mailing Address - Street 1:3917 SHAVER ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2603
Mailing Address - Country:US
Mailing Address - Phone:713-941-6662
Mailing Address - Fax:713-941-6665
Practice Address - Street 1:3917 SHAVER ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2603
Practice Address - Country:US
Practice Address - Phone:713-941-6662
Practice Address - Fax:713-941-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5825T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154095701Medicaid
TXU87388Medicare UPIN
TX00136UMedicare ID - Type UnspecifiedGROUP