Provider Demographics
NPI:1659722726
Name:TOMBALL FAMILY EYE CARE INC.
Entity Type:Organization
Organization Name:TOMBALL FAMILY EYE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RIDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-516-3937
Mailing Address - Street 1:10322 KNOBOAK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2912
Mailing Address - Country:US
Mailing Address - Phone:281-516-3937
Mailing Address - Fax:281-516-3938
Practice Address - Street 1:27650 STATE HIGHWAY 249
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6518
Practice Address - Country:US
Practice Address - Phone:281-516-3937
Practice Address - Fax:281-516-3938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7075152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty