Provider Demographics
NPI:1366083495
Name:VISION GALLERY PLLC
Entity type:Organization
Organization Name:VISION GALLERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOODPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-512-1655
Mailing Address - Street 1:1101 S MASON RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3842
Mailing Address - Country:US
Mailing Address - Phone:281-398-4000
Mailing Address - Fax:281-398-4515
Practice Address - Street 1:1101 S MASON RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3842
Practice Address - Country:US
Practice Address - Phone:832-512-1655
Practice Address - Fax:281-398-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty