Provider Demographics
NPI:1811035249
Name:KWAPICK, JOHN I (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:KWAPICK
Suffix:I
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:18102 STARBOARD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-4334
Mailing Address - Country:US
Mailing Address - Phone:713-498-4650
Mailing Address - Fax:
Practice Address - Street 1:1084 BAYBROOK MALL
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2744
Practice Address - Country:US
Practice Address - Phone:281-480-9799
Practice Address - Fax:281-480-9798
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2465TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management