Provider Demographics
NPI:1336365840
Name:WISHNOW VISION ASSOCIATES
Entity Type:Organization
Organization Name:WISHNOW VISION ASSOCIATES
Other - Org Name:WISHNOW VISION ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:WISHNOW
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-771-1206
Mailing Address - Street 1:5649 BEECHNUT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1021
Mailing Address - Country:US
Mailing Address - Phone:713-771-1206
Mailing Address - Fax:713-771-4747
Practice Address - Street 1:5649 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1021
Practice Address - Country:US
Practice Address - Phone:713-771-1206
Practice Address - Fax:713-771-4747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX03201TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty