Provider Demographics
NPI:1710322003
Name:VISION DISCOVERY, PLLC
Entity Type:Organization
Organization Name:VISION DISCOVERY, PLLC
Other - Org Name:VISION DISCOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:WAY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-370-4444
Mailing Address - Street 1:21195 KUYKENDAHL RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3307
Mailing Address - Country:US
Mailing Address - Phone:832-843-6369
Mailing Address - Fax:832-843-7820
Practice Address - Street 1:21195 KUYKENDAHL RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3307
Practice Address - Country:US
Practice Address - Phone:832-843-6369
Practice Address - Fax:832-843-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6423TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty