Provider Demographics
NPI:1891335089
Name:IMPERIAL VISION SUGAR LAND, PLLC
Entity Type:Organization
Organization Name:IMPERIAL VISION SUGAR LAND, PLLC
Other - Org Name:TODAY'S VISION SUGAR LAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:C
Authorized Official - Last Name:IMPERIAL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-916-2020
Mailing Address - Street 1:16126 SOUTHWEST FWY STE 180
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2639
Mailing Address - Country:US
Mailing Address - Phone:281-916-2020
Mailing Address - Fax:281-916-2021
Practice Address - Street 1:16126 SOUTHWEST FWY STE 180
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2639
Practice Address - Country:US
Practice Address - Phone:281-916-2020
Practice Address - Fax:281-916-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty