Provider Demographics
NPI:1457075707
Name:ELYSON EYE CARE LLC
Entity Type:Organization
Organization Name:ELYSON EYE CARE LLC
Other - Org Name:EYE VANTAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-626-9885
Mailing Address - Street 1:23927 FM 529 RD
Mailing Address - Street 2:STE 200
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-6124
Mailing Address - Country:US
Mailing Address - Phone:281-626-9885
Mailing Address - Fax:
Practice Address - Street 1:23927 FM 529 RD
Practice Address - Street 2:STE 200
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-5099
Practice Address - Country:US
Practice Address - Phone:281-626-9885
Practice Address - Fax:282-626-9790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELYSON EYE CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-30
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty