Provider Demographics
NPI:1518031020
Name:HAYES, LINDA C (OD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:HAYES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 N BRAESWOOD BLVD
Mailing Address - Street 2:140
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3015
Mailing Address - Country:US
Mailing Address - Phone:713-729-2320
Mailing Address - Fax:
Practice Address - Street 1:11339 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-3799
Practice Address - Country:US
Practice Address - Phone:281-580-7555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX#3800T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG000E47K2Medicaid
TXE47K2Medicare UPIN