Provider Demographics
NPI:1952406498
Name:FAMILY VISION ASSOCIATES LLP
Entity Type:Organization
Organization Name:FAMILY VISION ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PRESTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:325-677-6225
Mailing Address - Street 1:440 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-5716
Mailing Address - Country:US
Mailing Address - Phone:325-677-6225
Mailing Address - Fax:325-677-0103
Practice Address - Street 1:440 HICKORY ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5716
Practice Address - Country:US
Practice Address - Phone:325-677-6225
Practice Address - Fax:325-677-0103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4783970001OtherSUPPLIER NUMBER
TX00244VMedicare ID - Type Unspecified