Provider Demographics
NPI:1013910058
Name:WESTHEIMER VISION ASSOCIATES, PC
Entity Type:Organization
Organization Name:WESTHEIMER VISION ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:SIMANK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-781-3517
Mailing Address - Street 1:10260 WESTHEIMER RD
Mailing Address - Street 2:STE 580
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3107
Mailing Address - Country:US
Mailing Address - Phone:713-781-3517
Mailing Address - Fax:
Practice Address - Street 1:10260 WESTHEIMER RD
Practice Address - Street 2:STE 580
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3107
Practice Address - Country:US
Practice Address - Phone:713-781-3517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5887TG152W00000X
TX1655TG152W00000X
TX1656TG152W00000X
TX5276TG152W00000X
TX6949TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E04GMedicare ID - Type Unspecified
TXT15621Medicare UPIN
TX0360160001Medicare NSC
TXU81333Medicare UPIN
TXU64603Medicare UPIN
TXT15620Medicare UPIN