Provider Demographics
NPI:1124372727
Name:EYESCRIPT VISION CARE PC
Entity Type:Organization
Organization Name:EYESCRIPT VISION CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OD
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:D
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-301-1308
Mailing Address - Street 1:6925 CYPRESSWOOD DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7723
Mailing Address - Country:US
Mailing Address - Phone:713-301-1308
Mailing Address - Fax:832-934-1161
Practice Address - Street 1:6925 CYPRESSWOOD DR
Practice Address - Street 2:SUITE A
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7723
Practice Address - Country:US
Practice Address - Phone:713-301-1308
Practice Address - Fax:832-934-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-04
Last Update Date:2012-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7639-TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty