Managed Vision Care Inc 042793

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MANAGED VISION CARE INC 042793

Practice address

103 Parking Way St
Lake Jackson, TX 77566-5228

Phone

(979) 299-2345

Fax

(979) 297-2395

NPI assigned

Feb 22, 2007

Last updated

Aug 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Grady

Title

Owner

Phone

(979) 299-1878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1346375060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARKING WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665228",
            "telephone_number": "979-299-1878",
            "fax_number": "979-297-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARKING WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665228",
            "telephone_number": "979-299-2345",
            "fax_number": "979-297-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED VISION CARE INC 042793",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-299-1878"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiane Marie Lubin, AU.D.
• Edna Lucio, OT
• Raquel Victoria Lujan
• Thomas Mason Lunsford, MD
• Daisy Lumabas Macasieb, D.D.S.
• Cynthia Ann Manders, D.D.S.
• Dorothy Manning
• Heidi M Mansy, NP
• Mark D Bonnen MD PA
• Samantha Nicole Marley-McCann, CCC-SLP

• Eyewear Supplier in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.