Provider Demographics
NPI:1942642434
Name:A VISION OPTICAL
Entity Type:Organization
Organization Name:A VISION OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTEFANA
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-579-8028
Mailing Address - Street 1:30919 FM 1847
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-9706
Mailing Address - Country:US
Mailing Address - Phone:956-579-8028
Mailing Address - Fax:956-246-4255
Practice Address - Street 1:889 S SAM HOUSTON BLVD
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-3062
Practice Address - Country:US
Practice Address - Phone:956-579-8028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier