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
506 E VAN BUREN AVE, HARLINGEN, TX 78550-6836
(956) 423-4333
(956) 425-2020
Mailing address
PO BOX 4830, EDINBURG, TX 78540-4830
(956) 631-8875
(956) 682-6280
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
J6115
TX
332H00000X
Eyewear Supplier
J6115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285048901
—
TX
Enumeration date
10/05/2016
Last updated
01/25/2017
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