Provider Demographics
NPI:1083792212
Name:PAYAN, LORAINE RODRIGUEZ (OD)
Entity Type:Individual
Prefix:DR
First Name:LORAINE
Middle Name:RODRIGUEZ
Last Name:PAYAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9740 BARKER CYPRESS RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1973
Mailing Address - Country:US
Mailing Address - Phone:281-550-7900
Mailing Address - Fax:281-550-7909
Practice Address - Street 1:9740 BARKER CYPRESS RD
Practice Address - Street 2:SUITE 112
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1973
Practice Address - Country:US
Practice Address - Phone:281-550-7900
Practice Address - Fax:281-550-7909
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5501T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8C8244Medicare ID - Type Unspecified
TXU68548Medicare UPIN