Provider Demographics
NPI:1831363316
Name:ROCKWALL VISION PLLC
Entity type:Organization
Organization Name:ROCKWALL VISION PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EVAGELOS
Authorized Official - Middle Name:
Authorized Official - Last Name:AGAPIOS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-722-1000
Mailing Address - Street 1:3002 HORIZON RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-5817
Mailing Address - Country:US
Mailing Address - Phone:972-722-1000
Mailing Address - Fax:
Practice Address - Street 1:3002 HORIZON RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-5817
Practice Address - Country:US
Practice Address - Phone:972-722-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7034T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty