Victoria Vision Center LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VICTORIA VISION CENTER LLC

Practice address

605 N Virginia St
Port Lavaca, TX 77979-3021

Phone

(361) 578-0234

Fax

(361) 580-3168

NPI assigned

Mar 5, 2007

Last updated

Oct 1, 2009By 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

Connie Stclair

Title

Chief Operating Officer

Phone

(361) 578-0234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1376672543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-580-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793021",
            "telephone_number": "361-578-0234",
            "fax_number": "361-580-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "STCLAIR",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "361-578-0234"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nicole Thompson, FNP
• Courtne L Thurlkill, FNP
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• Lisa Marie Van Guilder, NP-C
• Victoria Professional Medical Consultants, LLC
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• Walgreen Co (Walgreens #12494)
• Edith Willett
• George A William, M.D.
• Mary Alice Wilson, OTR

• Eyewear Supplier in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Eyewear Supplier in Texas

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