Provider Demographics
NPI:1538695994
Name:VIP VISION EYE PROFESSIONALS, PLLC
Entity Type:Organization
Organization Name:VIP VISION EYE PROFESSIONALS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:OGECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:UKEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-877-1412
Mailing Address - Street 1:6515 DAYRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-5594
Mailing Address - Country:US
Mailing Address - Phone:713-877-1412
Mailing Address - Fax:
Practice Address - Street 1:5135 W ALABAMA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5827
Practice Address - Country:US
Practice Address - Phone:713-877-1412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8263T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty