Provider Demographics
NPI:1386828424
Name:OGUCHI, PEARL C
Entity Type:Individual
Prefix:
First Name:PEARL
Middle Name:C
Last Name:OGUCHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14909 BELLAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-2510
Mailing Address - Country:US
Mailing Address - Phone:281-564-6400
Mailing Address - Fax:281-564-6450
Practice Address - Street 1:14909 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-2510
Practice Address - Country:US
Practice Address - Phone:281-564-6400
Practice Address - Fax:281-564-6450
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX069591156F00000X
156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
No156F00000XEye and Vision Services ProvidersTechnician/Technologist