Provider Demographics
NPI:1467838656
Name:EVOLUTIONARY EYE CARE
Entity Type:Organization
Organization Name:EVOLUTIONARY EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHAU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-545-4901
Mailing Address - Street 1:19875 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 180
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6721
Mailing Address - Country:US
Mailing Address - Phone:281-545-4901
Mailing Address - Fax:
Practice Address - Street 1:19875 SOUTHWEST FWY
Practice Address - Street 2:SUITE 180
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6721
Practice Address - Country:US
Practice Address - Phone:281-545-4901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8048TG152WC0802X
TX8065TG152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty