Provider Demographics
NPI:1063594216
Name:STARR VISION CENTER PLLC
Entity type:Organization
Organization Name:STARR VISION CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-488-0808
Mailing Address - Street 1:280 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-3600
Mailing Address - Country:US
Mailing Address - Phone:956-488-0808
Mailing Address - Fax:956-488-0258
Practice Address - Street 1:280 W 2ND ST
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-3600
Practice Address - Country:US
Practice Address - Phone:956-488-0808
Practice Address - Fax:956-488-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092996001Medicaid
TX80360QOtherBLUECROSS BLUESHIELD
TX0A3904Medicare PIN