Provider Demographics
NPI:1386871820
Name:GULF VISION, PLLC
Entity type:Organization
Organization Name:GULF VISION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SINGLE MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEINEP
Authorized Official - Middle Name:O
Authorized Official - Last Name:ECHETEBU
Authorized Official - Suffix:
Authorized Official - Credentials:OD,PHD
Authorized Official - Phone:281-538-0022
Mailing Address - Street 1:2640 E LEAGUE CITY PKWY
Mailing Address - Street 2:#104
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3368
Mailing Address - Country:US
Mailing Address - Phone:281-538-0022
Mailing Address - Fax:281-538-0030
Practice Address - Street 1:2640 E LEAGUE CITY PKWY
Practice Address - Street 2:#121
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3368
Practice Address - Country:US
Practice Address - Phone:281-538-0022
Practice Address - Fax:281-538-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5392TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2815380022OtherVSP
TXOP2870OtherEYE MED
TXOP2870OtherEYE MED