Vision Plaza

Primary specialty

OptometristTaxonomy code 152W00000X

License

6555TG Issued in TX

Legal business name

VISION PLAZA

Practice address

5224 S SH 360
200
Grand Prairie, TX 75052

Phone

(972) 602-4545

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kay Lawler

Title

Manager

Phone

(972) 602-4545

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Andre T Lee OD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vision Plaza PA

  • Optometrist
  • Burleson, TX
  • NPI 1912019076
  NPD tax ID

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1326355629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 S SH 360 STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "972-602-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 S SH 360",
            "address_2": "200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "972-602-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-602-4545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6555TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "6555TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandro Villamil, DDS
• Kathleen Gay Gamboa Villano, P.T.
• Yasmin Leslie Villanueva-Hernandez, RN
• Kimberly Vincent, LMT
• Virtuous Health Services, LLC (VHS Care)
• Visionworks, Inc.
• Vista Rehab Partners (Vista Physical Therapy)
• Vitalcare Services LLC
• Vitra Counseling Associates, PLLC
• Vitra Health and Human Services LLC

• Optometrist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.