Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VISION PLAZA PA
Active
Organization
VISION PLAZA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE LE OD (OWNER)
(817) 295-9696
Entity
Organization
Contact information
Practice address
116 E ELLISON ST STE C, BURLESON, TX 76028-4286
(817) 295-9696
(817) 295-9313
Mailing address
116 E ELLISON ST STE C, BURLESON, TX 76028-4286
(214) 998-0934
(817) 295-9313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6555TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177115601
—
TX
Enumeration date
08/31/2006
Last updated
09/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up