Organization Name: | DALLAS VISION CENTER INC |
NPI Number: | 1669653051 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT J VODVARKA (PRESIDENT) |
Mailing Address: | 11888 Marsh Ln Suite 414 Dallas |
State: | TX US |
Postal Code: | 752348083 |
Phone Number: | 9722418084 |
Fax Number: | 9722418086 |
NPI Enumeration Date: | 11/14/2007 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | TG2057 |
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. |