Provider Demographics
| NPI: | 1912134925 |
|---|---|
| Name: | BETTER OPTICS INC |
| Entity type: | Organization |
| Organization Name: | BETTER OPTICS INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OPTOMETRIST |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | LUIS |
| Authorized Official - Middle Name: | GABRIEL |
| Authorized Official - Last Name: | PEREZ |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | OD |
| Authorized Official - Phone: | 903-880-4393 |
| Mailing Address - Street 1: | 4419 HOLLAND AVE |
| Mailing Address - Street 2: | 104 |
| Mailing Address - City: | DALLAS |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75219-2134 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 903-880-4393 |
| Mailing Address - Fax: | 903-880-0108 |
| Practice Address - Street 1: | 1200 W MAIN ST |
| Practice Address - Street 2: | |
| Practice Address - City: | GUN BARREL CITY |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 75156-5320 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 903-880-4393 |
| Practice Address - Fax: | 903-880-0108 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2009-06-17 |
| Last Update Date: | 2009-06-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TX | 6799TG | 152W00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 152W00000X | Eye and Vision Services Providers | Optometrist | Group - Single Specialty |