Provider Demographics
NPI:1578898532
Name:VISION LEARNING CENTER, P.A.
Entity Type:Organization
Organization Name:VISION LEARNING CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-592-9650
Mailing Address - Street 1:8500 CYPRESSWOOD DR STE 103
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7106
Mailing Address - Country:US
Mailing Address - Phone:832-592-9650
Mailing Address - Fax:832-789-9650
Practice Address - Street 1:8500 CYPRESSWOOD DR STE 103
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7106
Practice Address - Country:US
Practice Address - Phone:832-592-9650
Practice Address - Fax:832-789-9650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISION LEARNING CENTER, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-08
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7041T152W00000X, 152WP0200X, 152WS0006X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Single Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1770622045OtherINDIVIDUAL NPI - DR. MARY MCMAINS
TX1457443772OtherINDIVIDUAL NPI - DR. ANN VOSS