Avs Vision Round Rock LLC
Eyewear Supplier (Equipment, not the service) in Round Rock, TX. Organization (NPI-2).
NPI number1649932005
StatusActive
Last updated in NPPESOct 12, 2021
Details
- NPI
- 1649932005
- Entity type
- Organization (NPI-2)
- Legal business name
- Avs Vision Round Rock LLC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2021
- Certification date
- Oct 12, 2021
- Last updated
- Oct 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 152W00000X | Optometrist | – | – |
Other names
- My Eyelab (Doing Business As)
Practice location
2150 E Palm Valley Blvd Ste 300Round Rock, TX 78665-1532
Phone 956-335-6476
Mailing address
5228 Rufe Snow DrNorth Richland Hills, TX 76180-6652
Authorized official
Jackie Bennett
Credentialing Supervisor
5614336009
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All 12 Eyewear Supplier providers in Round Rock · All 4,921 providers in Round Rock
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