Organization
DALLAS VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J VODVARKA O.D. (PRESIDENT)
(972) 241-8084
Entity
Organization
Contact information
Practice address
11888 MARSH LN, SUITE 414, DALLAS, TX 75234-8083
(972) 241-8084
(972) 241-8086
Mailing address
414 PARK FOREST CTR, DALLAS, TX 75234-8065
(972) 241-8084
(972) 241-8086
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
TG2057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316922982
INDIVIDUAL NPI
TX
01
—
410033055
RAILROAD PIN
TX
01
—
8A8260
MEDICARE INDIVIDUAL NUMBER
TX
Enumeration date
11/14/2007
Last updated
08/03/2010
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