Provider Demographics
NPI:1700761624
Name:VISION COLLECTIVE PLLC
Entity type:Organization
Organization Name:VISION COLLECTIVE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:985-515-7098
Mailing Address - Street 1:10416 TACARA DR APT 11313
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-2490
Mailing Address - Country:US
Mailing Address - Phone:985-515-7098
Mailing Address - Fax:
Practice Address - Street 1:1061 N COLEMAN ST STE 201
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-2317
Practice Address - Country:US
Practice Address - Phone:469-850-2920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty