Provider Demographics
NPI:1215059779
Name:HI-Q VISION
Entity type:Organization
Organization Name:HI-Q VISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOA
Authorized Official - Middle Name:K
Authorized Official - Last Name:TO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-564-5588
Mailing Address - Street 1:10515 BELLAIRE BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5234
Mailing Address - Country:US
Mailing Address - Phone:281-564-5588
Mailing Address - Fax:281-564-0521
Practice Address - Street 1:10515 BELLAIRE BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5234
Practice Address - Country:US
Practice Address - Phone:281-564-5588
Practice Address - Fax:281-564-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05598T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0020FFOtherBLUE CROSS & BLUE SHIELD
TX=========OtherTAX IDENTIFICATION NUMBER