Organization
VISION MAX-BAYTOWN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PLANTY O.D. (PRESIDENT OWNER)
(281) 421-2020
Entity
Organization
Contact information
Practice address
1819 COMMON ST, HOUSTON, TX 77009-8628
(713) 598-7268
(409) 932-2597
Mailing address
1819 COMMON ST, HOUSTON, TX 77009-8628
(713) 598-7268
(409) 932-2597
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2630T
TX
152WP0200X
Pediatric Optometrist
2630T
TX
152WS0006X
Sports Vision Optometrist
2630T
TX
152WX0102X
Occupational Vision Optometrist
2630T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121639202
—
TX
Enumeration date
02/01/2007
Last updated
04/13/2023
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