Provider Demographics
NPI:1891427399
Name:NEIGHBORHOOD EYE DOCTORS PLLC
Entity Type:Organization
Organization Name:NEIGHBORHOOD EYE DOCTORS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:TRAM
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:405-664-1658
Mailing Address - Street 1:15002 REDDING CREST LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4644
Mailing Address - Country:US
Mailing Address - Phone:405-664-1658
Mailing Address - Fax:
Practice Address - Street 1:20750 KUYKENDAHL RD STE 150-B
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3535
Practice Address - Country:US
Practice Address - Phone:254-615-1091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty