Provider Demographics
NPI:1063877843
Name:ENVISION EYECARE PC
Entity type:Organization
Organization Name:ENVISION EYECARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:ENVANI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-223-7220
Mailing Address - Street 1:150 N BECKLEY ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1844
Mailing Address - Country:US
Mailing Address - Phone:972-223-7220
Mailing Address - Fax:972-223-7806
Practice Address - Street 1:150 N BECKLEY ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1844
Practice Address - Country:US
Practice Address - Phone:972-223-7220
Practice Address - Fax:972-223-7806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5204152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty