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Organization
PREMIER VISION CARE
Active
Organization
PREMIER VISION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAN QUACH O.D. (OWNER)
(281) 436-1757
Entity
Organization
Contact information
Practice address
5866 E SAM HOUSTON PKWY N STE B, HOUSTON, TX 77049-2527
(281) 436-1757
(281) 454-4825
Mailing address
5866 E SAM HOUSTON PKWY N STE B, HOUSTON, TX 77049-2527
(281) 436-1757
(281) 454-4825
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6561TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2143232
—
TX
01
—
TXB104560
MEDICARE - GROUP PTAN
TX
Enumeration date
02/25/2010
Last updated
05/18/2011
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