Provider Demographics
NPI:1346711132
Name:TEXAS EYECARE & OPTICAL LLC
Entity Type:Organization
Organization Name:TEXAS EYECARE & OPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TALHA
Authorized Official - Middle Name:ALTAF-UR
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-640-5666
Mailing Address - Street 1:8710 GRAND MISSION BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-5413
Mailing Address - Country:US
Mailing Address - Phone:832-640-5666
Mailing Address - Fax:
Practice Address - Street 1:8710 GRAND MISSION BLVD STE D
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-5413
Practice Address - Country:US
Practice Address - Phone:832-640-5666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty