EYE AND VISION MANAGEMENT NPI 1003006057

Optometrist in Richardson, TX

About EYE AND VISION MANAGEMENT

Eye And Vision Management is a provider in Richardson, TX. The NPI number assigned to this provider is 1003006057. The practitioner's primary taxonomy code is Optometrist (152W00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Eye And Vision Management operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003006057 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameEYE AND VISION MANAGEMENT
Provider Location Address3417 SPECTRUM BLVD SUITE 100 RICHARDSON, TX 75082 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address3417 SPECTRUM BLVD SUITE 100 RICHARDSON, TX 75082 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-26-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-26-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

EYE AND VISION MANAGEMENT
3417 SPECTRUM BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
Phone: (972) 423-3937
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Mailing Address

EYE AND VISION MANAGEMENT
3417 SPECTRUM BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
Phone: (972) 423-3937

Primary Taxonomy

Taxonomy Code152W00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.4044TG
License StateTX
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Authorized Official

Authorized Official NameDR. AGUSTIN L GONZALEZ OD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePARTNER
Authorized Official Phone(972) 423-3937

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0453227MEDICAID (05)TX

Map Location


EYE AND VISION MANAGEMENT address is 3417 SPECTRUM BLVD SUITE 100 RICHARDSON, TX 75082

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942662283UP4 NUTRITION LLC
Organization
Dietitian, Registered3417 SPECTRUM BLVD
RICHARDSON, TX 75082
(469) 471-1988