Provider Demographics
NPI:1891124053
Name:ACCUVISION MANAGEMENT, LLC
Entity Type:Organization
Organization Name:ACCUVISION MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:O D
Authorized Official - Phone:254-518-4300
Mailing Address - Street 1:3010 E HIGHWAY 190
Mailing Address - Street 2:BLDG. 2, STE. 224
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-2504
Mailing Address - Country:US
Mailing Address - Phone:254-518-4300
Mailing Address - Fax:254-518-4335
Practice Address - Street 1:3010 E HIGHWAY 190
Practice Address - Street 2:BLDG. 2, STE. 224
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-2504
Practice Address - Country:US
Practice Address - Phone:254-518-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-07
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier