VICTORIA VISION CENTER LLC
NPI 1124067582
Eyewear Supplier in Victoria, TX

Q: What is Victoria Vision Center LLC's NPI number?

The NPI number for Victoria Vision Center LLC is 1124067582. It was assigned to this organization in the NPPES registry on June 4, 2006.

Q: What is Victoria Vision Center LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since June 04, 2006

107 JAMES COLEMAN DR, VICTORIA, TX 77904(361) 578-0234(361) 580-3168 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Victoria Vision Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA VISION CENTER LLC (NPI 1124067582) is a healthcare organization registered as an eyewear supplier in Victoria, Texas and active in the NPI registry since June 2006. The organization lists Debbie Boozalis, Owner, as its authorized official.

NPPES Registry Identity

NPI1124067582

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameVICTORIA VISION CENTER LLC

Location Address107 JAMES COLEMAN DRVictoria, TX 77904

Mailing Address107 James Coleman DrVictoria, TX 77904 · (361) 578-0234 · Fax (361) 580-3168

Phone(361) 578-0234

Fax(361) 580-3168

Organization SubpartNo

Authorized OfficialDebbie BoozalisOwner · (361) 578-0234

Enumeration DateJune 4, 2006

Last NPPES UpdateAugust 14, 2013

✔ NPI 1124067582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

107 JAMES COLEMAN DR, Victoria, TX 77904

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Other Identifiers 1

Medicare NSC5803730001TX

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Vision Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20100930074250DME · OpticianDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HE LI MD

Ophthalmology (Glaucoma Specialist)