Organization
RGV OPTICAL IMAGES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR HUGO GONZALEZ M.D. (PRESIDENT)
(956) 423-2100
Entity
Organization
Contact information
Practice address
1331 E 6TH ST, WESLACO, TX 78596-6601
(956) 423-4333
(956) 682-6280
Mailing address
PO BOX 4830, EDINBURG, TX 78540-4830
(956) 423-2100
(956) 664-1090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
J6115
TX
332H00000X
Eyewear Supplier
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193766601
—
TX
05
—
193766602
—
TX
05
—
285048901
—
TX
01
—
285048902
MEDICAID DME
—
01
—
285048903
MEDICAID CSN
TX
Enumeration date
05/15/2007
Last updated
10/25/2016
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