Organization
BRUCE WICK OD PHD PA
Active
Other names
Vision Source Mission Bend LLP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE WICK OD PHD (PARTNER)
(281) 933-3446
Entity
Organization
Contact information
Practice address
13615 BELLAIRE BLVD, HOUSTON, TX 77083-1714
(281) 933-3446
(281) 933-6865
Mailing address
13615 BELLAIRE BLVD, HOUSTON, TX 77083-1714
(281) 933-3446
(281) 933-6865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4743680001
GIGNA GOV SERVICES NUMBER
TX
Enumeration date
10/24/2007
Last updated
06/19/2008
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