Provider Demographics
NPI:1811213739
Name:BEYOND EYE CARE PLLC
Entity Type:Organization
Organization Name:BEYOND EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KERRIANN
Authorized Official - Middle Name:COOMBS
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-763-2006
Mailing Address - Street 1:25510 BUFFALO SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-8445
Mailing Address - Country:US
Mailing Address - Phone:281-630-7994
Mailing Address - Fax:
Practice Address - Street 1:6931 FM 1960 RD E
Practice Address - Street 2:
Practice Address - City:ATASCOCITA
Practice Address - State:TX
Practice Address - Zip Code:77346-2705
Practice Address - Country:US
Practice Address - Phone:281-763-2006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7449TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty