| Organization Name: | BUENA VISTA OPTICAL INC |
| NPI Number: | 1023157641 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD GILLETT (DOCTOR) |
| Mailing Address: | 521 S 10th St Mcallen |
| State: | TX US |
| Postal Code: | 785014949 |
| Phone Number: | 9566311951 |
| Fax Number: | 9566831625 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 03/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | H8656 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |