Provider Demographics
NPI:1740421486
Name:LESLIE A VARKEY, OD, PC
Entity Type:Organization
Organization Name:LESLIE A VARKEY, OD, PC
Other - Org Name:DOWNTOWN VISION SOURCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-222-2300
Mailing Address - Street 1:700 RUSK ST
Mailing Address - Street 2:SUITE M120
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-2750
Mailing Address - Country:US
Mailing Address - Phone:713-222-2300
Mailing Address - Fax:713-222-2356
Practice Address - Street 1:700 RUSK ST
Practice Address - Street 2:SUITE M120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-2750
Practice Address - Country:US
Practice Address - Phone:713-222-2300
Practice Address - Fax:713-222-2356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7120TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty