Provider Demographics
NPI:1710445812
Name:ROYAL EYE CENTER, LLC
Entity Type:Organization
Organization Name:ROYAL EYE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZELMIRA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:623-523-4049
Mailing Address - Street 1:5219 TRANQUIL TRCE
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-9425
Mailing Address - Country:US
Mailing Address - Phone:623-523-4049
Mailing Address - Fax:
Practice Address - Street 1:16929 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2614
Practice Address - Country:US
Practice Address - Phone:623-523-4049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty