Provider Demographics
NPI:1619250388
Name:CHRISTINE A TYLER OD PA
Entity Type:Organization
Organization Name:CHRISTINE A TYLER OD PA
Other - Org Name:EYE CONTACT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-520-6600
Mailing Address - Street 1:2055 WESTHEIMER RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1598
Mailing Address - Country:US
Mailing Address - Phone:713-520-6600
Mailing Address - Fax:713-520-6656
Practice Address - Street 1:2055 WESTHEIMER RD
Practice Address - Street 2:SUITE 135
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1598
Practice Address - Country:US
Practice Address - Phone:713-520-6600
Practice Address - Fax:713-520-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6421TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8B8582Medicare PIN