Provider Demographics
NPI:1548594039
Name:EYECARE HOUSTON ASSOCIATES LLC
Entity Type:Organization
Organization Name:EYECARE HOUSTON ASSOCIATES LLC
Other - Org Name:EXQUISITE EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-580-3930
Mailing Address - Street 1:305 W PARKWOOD AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5424
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:305 W PARKWOOD AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5424
Practice Address - Country:US
Practice Address - Phone:281-482-2015
Practice Address - Fax:281-488-1670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A5766Medicare PIN