Organization
ADVANCED VISION SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA C KOPLOS OD (SOLE MEMBER)
(915) 490-9711
Entity
Organization
Contact information
Practice address
421B EXECUTIVE CENTER BLVD, EL PASO, TX 79902-1003
(915) 444-8458
(855) 728-1614
Mailing address
421B EXECUTIVE CENTER BLVD, EL PASO, TX 79902-1003
(915) 444-8458
(855) 728-1614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
Other
Enumeration date
01/21/2022
Last updated
10/04/2022
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