Provider Demographics
NPI:1871814723
Name:EYEWORKS INC
Entity Type:Organization
Organization Name:EYEWORKS INC
Other - Org Name:EYEWORKS AT MIDTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HIEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-942-9080
Mailing Address - Street 1:316 GRAY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8526
Mailing Address - Country:US
Mailing Address - Phone:713-942-9080
Mailing Address - Fax:713-942-9082
Practice Address - Street 1:316 GRAY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8526
Practice Address - Country:US
Practice Address - Phone:713-942-9080
Practice Address - Fax:713-942-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6021T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU86128Medicare UPIN