Provider Demographics
NPI:1578043097
Name:ARMSTRONG, CODY JAMES (OD)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:JAMES
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 OYSTER CREEK DR
Mailing Address - Street 2:STE A
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-4463
Mailing Address - Country:US
Mailing Address - Phone:979-299-9396
Mailing Address - Fax:
Practice Address - Street 1:126 OYSTER CREEK DR
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-4463
Practice Address - Country:US
Practice Address - Phone:979-299-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9565152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist