Provider Demographics
NPI:1295984433
Name:TEXAS VISION CONSULTANTS
Entity type:Organization
Organization Name:TEXAS VISION CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-282-2010
Mailing Address - Street 1:9500 S IH 35
Mailing Address - Street 2:BLDG G
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1752
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9500 S IH 35
Practice Address - Street 2:BLDG G
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1752
Practice Address - Country:US
Practice Address - Phone:512-282-2010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07061TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K3636Medicare PIN