Vida Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6789T Issued in TX

Legal business name

VIDA VISION LLC

Practice address

28902 Highway 290 Ste J09
Cypress, TX 77433-4296

Phone

(281) 758-1342

NPI assigned

Nov 10, 2015

Last updated

Dec 1, 2016By 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

Dr. Thanh Si Truong, O.D.NPI 1831139468

Title

President

Phone

(832) 372-2707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thanh Truong, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1831139468
  Medicare reassignment Authorized official
• Vibhaben M Patel, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1659540755
  Medicare reassignment
• Yasmin Tate

  • Optometrist
  • Houston, TX
  • NPI 1326504317
  Medicare reassignment

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1518330760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 GENTLE BROOK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770623235",
            "telephone_number": "713-795-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28902 HIGHWAY 290 STE J09",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334296",
            "telephone_number": "281-758-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "THANH",
        "authorized_official_middle_name": "SI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-372-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6789T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Verret-Godfrey, RPH
• Chelsea Lynn Veselka
• Griffin Vicknair, DC
• Victoba Healthcare Services Inc
• Vida Imaging LLC
• Theresa Vidrine, FNP
• Village Chiropractic Tomball PLLC (Village Chiropractic Cypress)
• Village Park Family Dental LLC (Village Park Family Dental)
• Elisa Villagran
• Melissa Villalpando

• Optometrist in Cypress, TX
• Providers in Cypress, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.