Vision Source Of Tyler
LBN: Abc Eyecare
Vision Source Of Tyler is an health care organization with primary practice located at 136 Shelley Dr , Tyler TX 75701-8723. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Abc Eyecare can be contacted via phone (903) 561-8686, or through Marshall, Katherine Emge via phone (903) 561-8686.
Contact Information
Primary practice address
136 Shelley Dr
Tyler TX 75701-8723
Phone: (903) 561-8686
Fax: (903) 581-1518
Website:
Authorized official contact:
Name: Marshall, Katherine Emge Doctor of Optometry (OD)
Phone: (903) 561-8686
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X |
Profile Details
| NPI number | 1255021432 |
|---|---|
| LBN Legal business name | Abc Eyecare |
| DBA Doing business as | Vision Source Of Tyler |
| Authorized official | Marshall, Katherine Emge Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2023 |
| Last updated | Dec 6th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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