Provider Demographics
NPI:1427275064
Name:INFINITE VISION, PLLC
Entity type:Organization
Organization Name:INFINITE VISION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:HYDE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:936-295-2273
Mailing Address - Street 1:34 RAINDANCE CT
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77385-3699
Mailing Address - Country:US
Mailing Address - Phone:936-295-2273
Mailing Address - Fax:936-295-2297
Practice Address - Street 1:141 INTERSTATE 45 S
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4243
Practice Address - Country:US
Practice Address - Phone:936-295-2273
Practice Address - Fax:936-295-2297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6220TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX IDENTIFICATION NUMBER