Provider Demographics
NPI:1689271793
Name:VISTA EYE CENTER PLLC
Entity Type:Organization
Organization Name:VISTA EYE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATY
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-764-5915
Mailing Address - Street 1:11747 FM 1960 STE A102-103
Mailing Address - Street 2:
Mailing Address - City:HUFFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:77336-4586
Mailing Address - Country:US
Mailing Address - Phone:281-764-5915
Mailing Address - Fax:281-764-5218
Practice Address - Street 1:11747 FM 1960 STE A102-103
Practice Address - Street 2:
Practice Address - City:HUFFMAN
Practice Address - State:TX
Practice Address - Zip Code:77336-4586
Practice Address - Country:US
Practice Address - Phone:281-764-5915
Practice Address - Fax:281-764-5218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty