Organization Name: | AECC TOTAL VISION HEALTH PLAN OF TEXAS, INC. |
NPI Number: | 1841579729 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID M. LAVELY (PRESIDENT) |
Mailing Address: | 112 Zebulon Court Rocky Mount |
State: | NC US |
Postal Code: | 278042420 |
Phone Number: | 8003343937 |
Fax Number: | 2524512928 |
NPI Enumeration Date: | 08/10/2011 |
NPI Last Update Date: | 08/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 28-094478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |