Vision Center of Magnolia, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3871TG Issued in TX

Legal business name

VISION CENTER OF MAGNOLIA, P.C.

Practice address

306 Magnolia Blvd
Magnolia, TX 77355-8535

Phone

(281) 259-2020

Fax

(281) 259-6866

NPI assigned

Aug 25, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Rhonda Manuel-Saldivar, O.D.

Title

President

Phone

(281) 259-2020

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Magnolia Vision Center Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Chavez Jr., OD

  • Optometrist
  • Magnolia, TX
  • NPI 1104490846
  NPD
• Vincent Wing-Wah Lam, O.D.

  • Optometrist
  • Magnolia, TX
  • NPI 1841524063
  NPD
• Arzoo Wastani, OD

  • Optometrist
  • Friendswood, TX
  • NPI 1114597234
  NPD (past)
• Annette Michelle Wolff, O.D.

  • Optometrist
  • Killeen, TX
  • NPI 1538284864
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1497748388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MAGNOLIA BLVD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773558535",
            "telephone_number": "281-259-2020",
            "fax_number": "281-259-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAGNOLIA BLVD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773558535",
            "telephone_number": "281-259-2020",
            "fax_number": "281-259-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTER OF MAGNOLIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MANUEL-SALDIVAR",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-259-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3871TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "465178575",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36FD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DBA MEDICARE RAILROAD",
            "identifier": "DB5070",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Magnolia, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.