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Organization

SUNRISE VISTA, LLC

Active
Other names
Mann Eye 2 Optical
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMY PRICE (CREDENTIALING COORD)
(713) 275-2457
Entity
Organization

Contact information

Practice address
14079 FM 2920, TOMBALL, TX 77377
(346) 701-4035
(346) 701-4035
Mailing address
18850 S MEMORIAL DR, HUMBLE, TX 77338-4288
(281) 446-7900

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
03/07/2016
Last updated
04/26/2016
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