Provider Demographics
NPI:1629132675
Name:PASADENA EYE ASSOCIATES
Entity Type:Organization
Organization Name:PASADENA EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:713-473-5715
Mailing Address - Street 1:4450 EAST SAM HOUSTON PARKWAY SOUTH
Mailing Address - Street 2:SUITE E
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3913
Mailing Address - Country:US
Mailing Address - Phone:713-473-5715
Mailing Address - Fax:713-473-3314
Practice Address - Street 1:4450 EAST SAM HOUSTON PARKWAY SOUTH
Practice Address - Street 2:SUITE E
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3913
Practice Address - Country:US
Practice Address - Phone:713-473-5715
Practice Address - Fax:713-473-3314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX085350903Medicaid
TX1154373942OtherNPI
TX1285686485OtherNPI
TX085350903Medicaid
TX00T670Medicare PIN
0287220001Medicare NSC