Provider Demographics
NPI:1639500689
Name:SCRC MANAGEMENT INC
Entity Type:Organization
Organization Name:SCRC MANAGEMENT INC
Other - Org Name:FAMILY VISION SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:CHARRIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-349-0224
Mailing Address - Street 1:2827 WATERBEND CV STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4278
Mailing Address - Country:US
Mailing Address - Phone:713-349-0224
Mailing Address - Fax:713-349-9834
Practice Address - Street 1:2827 WATERBEND CV STE 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4278
Practice Address - Country:US
Practice Address - Phone:713-349-0224
Practice Address - Fax:713-349-9834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDU1280Medicare PIN
TX284513Medicare PIN
TX6982360001Medicare NSC