Organization
RGV OPTICAL IMAGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR GONZALEZ MD (OWNER)
(956) 631-8875
Entity
Organization
Contact information
Practice address
1000 E EXPRESSWAY 83, UNIT 3, LA JOYA, TX 78560-8301
(956) 598-6130
(956) 682-6280
Mailing address
PO BOX 4830, EDINBURG, TX 78540-4830
(956) 631-8875
(956) 682-6280
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
J6115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205380862
NPI
—
Enumeration date
08/11/2016
Last updated
11/10/2016
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