Vision Source - Copperfield PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

4042TG Issued in TX

Legal business name

VISION SOURCE - COPPERFIELD PA

Practice address

7603 Highway 6 North
Houston, TX 77095

Phone

(281) 859-8000

Fax

(281) 859-4507

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Wick, OD, PHD

Title

President

Phone

(281) 933-3446

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Lora Mishler, OD

  • Optometrist
  • Houston, TX
  • NPI 1144715863
  Medicare reassignment NPD
• Madeline Diep Nguyen, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1366456469
  Medicare reassignment NPD
• Nadine Shihabeddin, OD

  • Optometrist
  • Houston, TX
  • NPI 1023742525
  Medicare reassignment NPD
• Cecilia Doan Nguyen, O.D

  • Optometrist
  • Cypress, TX
  • NPI 1124316682
  NPD
• Megan K Stubinski

  • Optometrist
  • Houston, TX
  • NPI 1063675239
  NPD

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1982886040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831714",
            "telephone_number": "281-933-3446",
            "fax_number": "281-933-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 HIGHWAY 6 NORTH",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77095",
            "telephone_number": "281-859-8000",
            "fax_number": "281-859-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE - COPPERFIELD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-933-3446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4042TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Intervention Progression Services,LLC
• Vision Max Northshore PLLC
• Vision Max PA
• Vision Max-Baytown PA
• Vision Optique PC
• Vision Trends - Greenspoint PA
• Vision Trends - Kirkwood PA
• Visionaire Plus, Inc
• Visionary Community Healthcare Center, LLC
• Visionary Diagnostics LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.