Provider Demographics
NPI:1053057505
Name:TOP VISION CARE LLC
Entity type:Organization
Organization Name:TOP VISION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSTAFA
Authorized Official - Middle Name:SOLIMAN
Authorized Official - Last Name:ELSAKKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:217-819-2417
Mailing Address - Street 1:5999 CUSTER RD STE 120
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9304
Mailing Address - Country:US
Mailing Address - Phone:217-819-2417
Mailing Address - Fax:
Practice Address - Street 1:5999 CUSTER RD STE 120
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-9304
Practice Address - Country:US
Practice Address - Phone:217-819-2417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty