Provider Demographics
NPI:1922133420
Name:RIVER OAKS VISION, P.A.
Entity Type:Organization
Organization Name:RIVER OAKS VISION, P.A.
Other - Org Name:RIVE OAKS VISION, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:KRUTSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-640-2020
Mailing Address - Street 1:1426 W GRAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4927
Mailing Address - Country:US
Mailing Address - Phone:713-640-2020
Mailing Address - Fax:713-520-7736
Practice Address - Street 1:1426 W GRAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-4927
Practice Address - Country:US
Practice Address - Phone:713-640-2020
Practice Address - Fax:713-520-7736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E13YMedicare PIN