Provider Demographics
NPI:1679297188
Name:AO VISION PA
Entity Type:Organization
Organization Name:AO VISION PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-589-2020
Mailing Address - Street 1:12288 WESTHEIMER RD STE 230
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6054
Mailing Address - Country:US
Mailing Address - Phone:281-589-2020
Mailing Address - Fax:713-782-0327
Practice Address - Street 1:12288 WESTHEIMER RD STE 230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6054
Practice Address - Country:US
Practice Address - Phone:281-589-2020
Practice Address - Fax:713-782-0327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty