Provider Demographics
NPI:1386653525
Name:TON URIZAR, JOCELYN P (OD)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:P
Last Name:TON URIZAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:P
Other - Last Name:TON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1635 ELDRIDGE PKWY
Mailing Address - Street 2:SUITE 360
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2153
Mailing Address - Country:US
Mailing Address - Phone:281-531-9400
Mailing Address - Fax:281-531-9455
Practice Address - Street 1:1635 ELDRIDGE PKWY
Practice Address - Street 2:SUITE 360
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2153
Practice Address - Country:US
Practice Address - Phone:281-531-9400
Practice Address - Fax:281-531-9455
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05930TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX05930TGOtherOPTOMETRY LICENSE
TXU99587Medicare UPIN
TX8B8228Medicare PIN