Southlake Vision Group Pllc

LBN: Southlake Vision Group Pllc
Southlake Vision Group Pllc is an health care organization with primary practice located at 3004 E Southlake Blvd , Southlake TX 76092-6618. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Southlake Vision Group Pllc can be contacted via phone (682) 554-2079, or through Ronin, Yury via phone (682) 554-2079.

Contact Information

Primary practice address
3004 E Southlake Blvd Southlake TX 76092-6618
Phone: (682) 554-2079
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ronin, Yury Doctor of Optometry (OD)
Phone: (682) 554-2079

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1114438017
LBN Legal business name Southlake Vision Group Pllc
DBA Doing business as
Authorized official Ronin, Yury Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2017
Last updated Dec 1st, 2017 - about 8 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.

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