Provider Demographics
NPI:1881845477
Name:RHODES VISION LLC
Entity Type:Organization
Organization Name:RHODES VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-743-5530
Mailing Address - Street 1:211 WALTER SEAHOLM DRIVE
Mailing Address - Street 2:UNIT 140
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3826
Mailing Address - Country:US
Mailing Address - Phone:512-743-5530
Mailing Address - Fax:512-494-4497
Practice Address - Street 1:211 WALTER SEAHOLM DRIVE
Practice Address - Street 2:UNIT 140
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3826
Practice Address - Country:US
Practice Address - Phone:512-743-5530
Practice Address - Fax:512-494-4497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07168TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0073RNOtherBCBS OF TEXAS
TX07168TGOtherTEXAS OPTOMETRY LICENSE