Provider Demographics
NPI:1912551045
Name:OZUZU, OSITA
Entity Type:Individual
Prefix:DR
First Name:OSITA
Middle Name:
Last Name:OZUZU
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:OSITA
Other - Middle Name:
Other - Last Name:OZUZU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:18807 FOREST DEER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2238
Mailing Address - Country:US
Mailing Address - Phone:936-235-9357
Mailing Address - Fax:
Practice Address - Street 1:14405 BELLAIRE BLVD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7534
Practice Address - Country:US
Practice Address - Phone:936-235-9357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008981152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist