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Organization

ID VISION CENTER PLLC

Active
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Organization

ID VISION CENTER PLLC

Active
Other names
iDesign Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HANH MK NGUYEN O.D (DOCTOR OF OPTOMETRY/ OWNER)
(281) 372-6686
Entity
Organization

Contact information

Practice address
17454 NORTHWEST FWY, HOUSTON, TX 77040-1002
(281) 372-6686
(888) 876-6445
Mailing address
17454 NORTHWEST FWY, HOUSTON, TX 77040-1002
(281) 372-6686
(888) 876-6445

Taxonomy

Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
05739TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05739TG
OPTOMETRY LICENSE
TX
Enumeration date
03/25/2010
Last updated
12/12/2013
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