Provider Demographics
NPI:1235302522
Name:LISA THOMAS O.D., P.A.
Entity Type:Organization
Organization Name:LISA THOMAS O.D., P.A.
Other - Org Name:EYES & OPTICS OF PEARLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-436-6005
Mailing Address - Street 1:2802 BUSINESS CENTER DR
Mailing Address - Street 2:SUITE#114
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2187
Mailing Address - Country:US
Mailing Address - Phone:713-436-6005
Mailing Address - Fax:713-436-5552
Practice Address - Street 1:2802 BUSINESS CENTER DR
Practice Address - Street 2:SUITE #114
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2148
Practice Address - Country:US
Practice Address - Phone:713-436-6005
Practice Address - Fax:713-436-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6801 TG152W00000X, 152WC0802X, 152WL0500X, 152WP0200X, 152WS0006X, 152WV0400X, 152WX0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Single Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Single Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z161Medicare PIN