Provider Demographics
NPI:1760533202
Name:D.E.Y. OPTICAL, LTD.
Entity Type:Organization
Organization Name:D.E.Y. OPTICAL, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC, NCLC, RDO
Authorized Official - Phone:281-890-7226
Mailing Address - Street 1:13300 HARGRAVE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4374
Mailing Address - Country:US
Mailing Address - Phone:281-890-7226
Mailing Address - Fax:281-890-7226
Practice Address - Street 1:13300 HARGRAVE RD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4374
Practice Address - Country:US
Practice Address - Phone:281-890-7226
Practice Address - Fax:281-890-7226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4765260001Medicare ID - Type UnspecifiedPROVIDER NUMBER