Provider Demographics
NPI:1730319971
Name:NORRIS, ELISSA KAY (OD)
Entity Type:Individual
Prefix:DR
First Name:ELISSA
Middle Name:KAY
Last Name:NORRIS
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:2855 GRAMERCY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1635
Mailing Address - Country:US
Mailing Address - Phone:713-668-6828
Mailing Address - Fax:713-558-8785
Practice Address - Street 1:1220 AUGUSTA DR
Practice Address - Street 2:100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-2261
Practice Address - Country:US
Practice Address - Phone:713-782-4406
Practice Address - Fax:713-782-2554
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7441T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L17973Medicare UPIN