Provider Demographics
NPI:1245398320
Name:ZEIN ELDIN, PATTI M (OD)
Entity Type:Individual
Prefix:DR
First Name:PATTI
Middle Name:M
Last Name:ZEIN ELDIN
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 1:6511 STEWART RD
Mailing Address - Street 2:STE 9A
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-1896
Mailing Address - Country:US
Mailing Address - Phone:409-740-2446
Mailing Address - Fax:409-740-3318
Practice Address - Street 1:6511 STEWART RD
Practice Address - Street 2:STE 9A
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-1896
Practice Address - Country:US
Practice Address - Phone:409-740-2446
Practice Address - Fax:409-740-3318
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3430TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
07632OtherSPECTERA
TX0010FAOtherBLUE CROSS BLUE SHIELD
TX00198FMedicare ID - Type Unspecified
TX0010FAOtherBLUE CROSS BLUE SHIELD