Provider Demographics
NPI:1760558043
Name:OPTIMAX VISION CARE, P.A.
Entity Type:Organization
Organization Name:OPTIMAX VISION CARE, P.A.
Other - Org Name:OPTIMAX VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:THAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-370-3937
Mailing Address - Street 1:13715 CEDAR POINT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-2706
Mailing Address - Country:US
Mailing Address - Phone:281-370-3937
Mailing Address - Fax:281-370-3907
Practice Address - Street 1:13715 CEDAR POINT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2706
Practice Address - Country:US
Practice Address - Phone:281-370-3937
Practice Address - Fax:281-370-3907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6262T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty