Provider Demographics
NPI:1538292586
Name:FVCOC, LLC
Entity Type:Organization
Organization Name:FVCOC, LLC
Other - Org Name:FAMILY VISION CENTER OF CROSBY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:JO ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS SZABO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-328-2020
Mailing Address - Street 1:14700 FM 2100 RD
Mailing Address - Street 2:STE 3
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-9161
Mailing Address - Country:US
Mailing Address - Phone:281-328-2020
Mailing Address - Fax:281-328-8394
Practice Address - Street 1:14700 FM 2100 RD
Practice Address - Street 2:STE 3
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-9161
Practice Address - Country:US
Practice Address - Phone:281-328-2020
Practice Address - Fax:281-328-8394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU81009Medicare UPIN
TXTXB155920Medicare PIN
TX410046001Medicare PIN
TX4326270001Medicare NSC