Provider Demographics
NPI:1457668675
Name:LOTUS VISION CARE PA
Entity Type:Organization
Organization Name:LOTUS VISION CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-910-0446
Mailing Address - Street 1:302 ALMEDA MALL STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-3506
Mailing Address - Country:US
Mailing Address - Phone:713-910-0446
Mailing Address - Fax:713-910-0459
Practice Address - Street 1:302 ALMEDA MALL STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-3506
Practice Address - Country:US
Practice Address - Phone:713-910-0446
Practice Address - Fax:713-910-0459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7298TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty