Provider Demographics
NPI:1306002001
Name:AMRITA K BAINS PA
Entity Type:Organization
Organization Name:AMRITA K BAINS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMRITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-446-6621
Mailing Address - Street 1:8927 ABER TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-4805
Mailing Address - Country:US
Mailing Address - Phone:713-446-6621
Mailing Address - Fax:
Practice Address - Street 1:25905 HIGHWAY 290
Practice Address - Street 2:SUITE A
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1004
Practice Address - Country:US
Practice Address - Phone:713-446-6621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Single Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty