Provider Demographics
NPI:1659584787
Name:STRONG VISION CENTER PA
Entity Type:Organization
Organization Name:STRONG VISION CENTER PA
Other - Org Name:STRONG VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:P
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-373-3063
Mailing Address - Street 1:17445 SPRING CYPRESS RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2684
Mailing Address - Country:US
Mailing Address - Phone:281-373-3063
Mailing Address - Fax:281-373-3089
Practice Address - Street 1:17445 SPRING CYPRESS RD
Practice Address - Street 2:SUITE G
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2684
Practice Address - Country:US
Practice Address - Phone:281-373-3063
Practice Address - Fax:281-373-3089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5885TG152W00000X
TX6593TG152W00000X
TX5194900001332B00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty