Organization
SURGICAL EYE ASSOCIATES, P.A.
Active
Other names
VISTA OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER SUTHERLAND DAWSON M.D. (PRESIDENT)
(713) 869-6400
Entity
Organization
Contact information
Practice address
1631 NORTH LOOP W, SUITE 500, HOUSTON, TX 77008-1500
(713) 869-6400
(713) 869-6498
Mailing address
1631 NORTH LOOP W, SUITE 500, HOUSTON, TX 77008-1500
(713) 869-6400
(713) 869-6498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
03629TG
TX
152W00000X
Optometrist
05253T
TX
156FX1800X
Optician
158119
TX
156FX1800X
Optician
165108
TX
207W00000X
Ophthalmology Physician
Primary
F0436
TX
207W00000X
Ophthalmology Physician
G2587
TX
207W00000X
Ophthalmology Physician
G8431
TX
207W00000X
Ophthalmology Physician
L8692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083903701
—
TX
Enumeration date
11/07/2006
Last updated
03/07/2008
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