In Vision Eye Care, L.L.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IN VISION EYE CARE, L.L.C.

Doing business as

Boa Vision Centers

Practice address

404 University Dr E
Suite B
College Station, TX 77840-5905

Phone

(979) 693-2891

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Andrew Klein

Title

President Ceo

Phone

(254) 247-0636

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BOA VISION CENTERS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1083761332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021861",
            "telephone_number": "254-247-0636",
            "fax_number": "254-247-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 UNIVERSITY DR E",
            "address_2": "SUITE B",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778405905",
            "telephone_number": "979-693-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN VISION EYE CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "254-247-0636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139949513",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "21189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOA VISION CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Vision Eye Care, LLC (Boa Vision Centers)
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• Durable Medical Equipment & Medical Supplies in College Station, TX
• Providers in College Station, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.