Provider Demographics
NPI:1679728521
Name:TOWN SQUARE EYE ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:TOWN SQUARE EYE ASSOCIATES, P.A.
Other - Org Name:EYE TRENDS @ TOWN SQUARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:N
Authorized Official - Last Name:ZAIBAQ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-265-2000
Mailing Address - Street 1:16200 CITY WALK
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6543
Mailing Address - Country:US
Mailing Address - Phone:281-265-2000
Mailing Address - Fax:281-265-2141
Practice Address - Street 1:16200 CITY WALK
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6543
Practice Address - Country:US
Practice Address - Phone:281-265-2000
Practice Address - Fax:281-265-2141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8C1017Medicare PIN
TXTXB159525Medicare PIN