Provider Demographics
NPI:1538644364
Name:UNGER FAMILY EYECARE
Entity Type:Organization
Organization Name:UNGER FAMILY EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:UNGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-412-5344
Mailing Address - Street 1:507 BRIDGE CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1539
Mailing Address - Country:US
Mailing Address - Phone:713-412-5344
Mailing Address - Fax:281-288-6764
Practice Address - Street 1:26270 NORTHWEST FWY STE A
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1761
Practice Address - Country:US
Practice Address - Phone:281-256-8448
Practice Address - Fax:281-256-8455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1992835490Medicaid