Provider Demographics
NPI:1346539897
Name:PARAGON EYE CARE, INC
Entity Type:Organization
Organization Name:PARAGON EYE CARE, INC
Other - Org Name:TEXAS STATE OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-360-2021
Mailing Address - Street 1:9701 N SAM HOUSTON PKWY E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4482
Mailing Address - Country:US
Mailing Address - Phone:281-360-2021
Mailing Address - Fax:281-360-2026
Practice Address - Street 1:9701 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE 100
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4482
Practice Address - Country:US
Practice Address - Phone:832-380-5857
Practice Address - Fax:281-360-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7395TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB130434Medicare PIN