Provider Demographics
NPI:1417977919
Name:LAGUNAS, CLAUDIO A (OD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIO
Middle Name:A
Last Name:LAGUNAS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1678 WILLOWBROOK MALL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-6027
Mailing Address - Country:US
Mailing Address - Phone:281-970-3840
Mailing Address - Fax:281-970-3852
Practice Address - Street 1:1678 WILLOWBROOK MALL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-6027
Practice Address - Country:US
Practice Address - Phone:281-970-3840
Practice Address - Fax:281-970-3852
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5417TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU92488Medicare UPIN