King Vision LLC
Optometrist in Nacogdoches, TX. Organization (NPI-2).
NPI number1780243097
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1780243097
- Entity type
- Organization (NPI-2)
- Legal business name
- King Vision LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2019
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
4810 North StNacogdoches, TX 75965-1876
Phone 954-261-1026
Mailing address
2304 Carole StNacogdoches, TX 75965-2267
Phone 954-261-1026 · Fax 936-398-6912
Authorized official
Jacqueline Lashawn Pierre
Founder/Optometerist
9365692015
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