Provider Demographics
NPI:1154762672
Name:ACUTE VISION PLLC
Entity type:Organization
Organization Name:ACUTE VISION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:I
Authorized Official - Last Name:MORIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-249-4200
Mailing Address - Street 1:918 BANDERA RD.
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-2097
Mailing Address - Country:US
Mailing Address - Phone:210-433-2020
Mailing Address - Fax:210-433-6006
Practice Address - Street 1:918 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-4923
Practice Address - Country:US
Practice Address - Phone:210-433-2020
Practice Address - Fax:210-433-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7301T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty