Provider Demographics
NPI:1265735898
Name:PRECIOUS VISION, LLC
Entity type:Organization
Organization Name:PRECIOUS VISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM THU
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-528-6322
Mailing Address - Street 1:20920 KUYKENDAHL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3378
Mailing Address - Country:US
Mailing Address - Phone:281-353-3937
Mailing Address - Fax:281-528-9451
Practice Address - Street 1:20920 KUYKENDAHL RD
Practice Address - Street 2:SUITE C
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3378
Practice Address - Country:US
Practice Address - Phone:281-353-3937
Practice Address - Fax:281-528-9451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5264305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization