Provider Demographics
NPI:1669853685
Name:KAZMI, AAMENA SUMMER (OD)
Entity Type:Individual
Prefix:
First Name:AAMENA
Middle Name:SUMMER
Last Name:KAZMI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13307 RYAN LANDING DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3160
Mailing Address - Country:US
Mailing Address - Phone:281-685-6342
Mailing Address - Fax:
Practice Address - Street 1:5001 BISSONNET ST STE 107
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4015
Practice Address - Country:US
Practice Address - Phone:713-664-8087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8645T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist