Provider Demographics
NPI:1881835916
Name:LENNON FELTON, JEMYRE (OD)
Entity Type:Individual
Prefix:DR
First Name:JEMYRE
Middle Name:
Last Name:LENNON FELTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:JEMYRE
Other - Middle Name:
Other - Last Name:LENNON FELTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:9906 LOGANS WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089
Mailing Address - Country:US
Mailing Address - Phone:832-309-7133
Mailing Address - Fax:
Practice Address - Street 1:4999 N TWIN CITY HWY
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-5827
Practice Address - Country:US
Practice Address - Phone:409-962-5489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7287TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist