Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vision Source - Kingwood, PA

Organization Optometrist · NPI 1265564769

Vision Source - Kingwood, PA is an Optometrist in Kingwood, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1714 Kingwood Dr
Kingwood, TX 77339-3046
Phone: (713) 995-0042
Fax: (713) 995-0548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 03337TG (TX)

Record details

NPI number1265564769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Ellisor — President · (713) 995-0042
NPI enumeratedMarch 10, 2007
Last updated in NPPESJune 21, 2018
Mailing address1714 Kingwood Dr, Kingwood, TX 77339-3046

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