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Organization

SUNRISE VISTA, LLC

Active
Other names
Mann Eye 2 Optical
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMY PRICE (CREDENTIALING COORD)
(713) 275-2457
Entity
Organization

Contact information

Practice address
4750 EAST FWY, BAYTOWN, TX 77521-8883
(281) 421-2020
(281) 421-7836
Mailing address
18850 S MEMORIAL DR, HUMBLE, TX 77338-4288
(281) 446-7900

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
02/22/2016
Last updated
05/19/2016
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