Clearvision Optical
LBN: Dr. Kenneth D. Gallinger
Clearvision Optical is an health care organization with primary practice located at 12215 Toepperwein Rd Suite 200, Live Oak TX 78233-3149. 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 / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Dr. Kenneth D. Gallinger can be contacted via phone (210) 590-3333, or through Perez, Christina Kay via phone (210) 333-7777.
Contact Information
Primary practice address
12215 Toepperwein Rd Suite 200
Live Oak TX 78233-3149
Phone: (210) 590-3333
Fax: (210) 590-3142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02663T | Texas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 02663T | Texas |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 02663T | Texas |
Profile Details
| NPI number | 1912177817 |
|---|---|
| LBN Legal business name | Dr. Kenneth D. Gallinger |
| DBA Doing business as | Clearvision Optical |
| Authorized official | Perez, Christina Kay |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2008 |
| Last updated | May 29th, 2008 - about 16 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912177817 | NPPES |
| Texas | MEDICAID | 019183501 |
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