Vision Source - Kingwood, PA

NPI #1265564769 in Kingwood, Texas

Provider Information

NPI Number: 1265564769
Entity Type: Organization
Organization Name: Vision Source - Kingwood, PA
Primary Specialty: Optometrist
Enumeration Date: Mar 10, 2007
Last Updated: Jun 21, 2018

Practice Location

Address: 1714 KINGWOOD DR
City: Kingwood
State: Texas
ZIP Code: 77339-3046
Phone: (713) 995-0042

Authorized Official

Name: GLENN D. ELLISOR, O.D.
Title: PRESIDENT
Phone: (713) 995-0042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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