Provider Demographics
NPI:1033671409
Name:PASADENA EYE ASSOCIATES
Entity Type:Organization
Organization Name:PASADENA EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-473-5715
Mailing Address - Street 1:10555 PEARLAND PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2676
Mailing Address - Country:US
Mailing Address - Phone:713-991-5522
Mailing Address - Fax:713-991-5566
Practice Address - Street 1:10555 PEARLAND PKWY STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2676
Practice Address - Country:US
Practice Address - Phone:713-991-5522
Practice Address - Fax:713-991-5566
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PASADENA EYE ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies