Provider Demographics
NPI:1710217054
Name:APEX EYE CENTER PLLC
Entity Type:Organization
Organization Name:APEX EYE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:WING-WAH
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-605-7103
Mailing Address - Street 1:2211 VILLAGE DALE AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3591
Mailing Address - Country:US
Mailing Address - Phone:832-605-7103
Mailing Address - Fax:832-224-4766
Practice Address - Street 1:2401 N 16TH ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-2331
Practice Address - Country:US
Practice Address - Phone:409-385-5262
Practice Address - Fax:409-385-6497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7406TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB108549Medicare PIN
TXTXB108550Medicare PIN