Vision Source - Copperfield PA

NPI #1982886040 in Houston, Texas

Provider Information

NPI Number: 1982886040
Entity Type: Organization
Organization Name: Vision Source - Copperfield PA
Primary Specialty: Optometrist
Enumeration Date: Nov 30, 2007
Last Updated: Nov 30, 2007

Practice Location

Address: 7603 HIGHWAY 6 NORTH
City: Houston
State: Texas
ZIP Code: 77095
Phone: (281) 859-8000

Authorized Official

Name: DR. BRUCE WICK, OD, PHD
Title: PRESIDENT
Phone: (281) 933-3446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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