Provider Demographics
NPI:1609025188
Name:EYE Q GLOBAL, PC
Entity Type:Organization
Organization Name:EYE Q GLOBAL, PC
Other - Org Name:GLOBAL EYE Q
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMEA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-775-0428
Mailing Address - Street 1:PO BOX 421719
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-1719
Mailing Address - Country:US
Mailing Address - Phone:281-469-7610
Mailing Address - Fax:281-469-7114
Practice Address - Street 1:11115 MCCRACKEN LN
Practice Address - Street 2:SUITE A
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4487
Practice Address - Country:US
Practice Address - Phone:281-469-7610
Practice Address - Fax:281-469-7114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7002TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612958Medicare PIN
TX0A3321Medicare PIN