Provider Demographics
NPI:1275068751
Name:MONOCLE PREMIER EYE CARE PLLC
Entity Type:Organization
Organization Name:MONOCLE PREMIER EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GLEE-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LLEMIT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-380-4714
Mailing Address - Street 1:PO BOX 20433
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0433
Mailing Address - Country:US
Mailing Address - Phone:832-380-4714
Mailing Address - Fax:617-716-5160
Practice Address - Street 1:4061 BELLAIRE BLVD STE H
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1121
Practice Address - Country:US
Practice Address - Phone:832-380-4714
Practice Address - Fax:617-716-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7879152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty