Provider Demographics
NPI:1154656189
Name:SHAH EYE CARE, PA
Entity Type:Organization
Organization Name:SHAH EYE CARE, PA
Other - Org Name:TSO MISSOURI CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-773-7482
Mailing Address - Street 1:7911 EMERALD HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5462
Mailing Address - Country:US
Mailing Address - Phone:281-773-7482
Mailing Address - Fax:
Practice Address - Street 1:10330 HIGHWAY 6
Practice Address - Street 2:SUITE E
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4741
Practice Address - Country:US
Practice Address - Phone:281-773-7482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty