Organization
MANAGED VISION CARE INC 042793
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA GRADY (OWNER)
(979) 299-1878
Entity
Organization
Contact information
Practice address
103 PARKING WAY ST, LAKE JACKSON, TX 77566-5228
(979) 299-2345
(979) 297-2395
Mailing address
103 PARKING WAY ST, LAKE JACKSON, TX 77566-5228
(979) 299-1878
(979) 297-2395
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
08/24/2010
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