Provider Demographics
NPI:1932104171
Name:GEE, KEVIN LIN (OD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:LIN
Last Name:GEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18075
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-8075
Mailing Address - Country:US
Mailing Address - Phone:281-778-9912
Mailing Address - Fax:281-778-9113
Practice Address - Street 1:9119 HWY. 6 SOUTH
Practice Address - Street 2:200
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459
Practice Address - Country:US
Practice Address - Phone:281-778-9912
Practice Address - Fax:281-778-9113
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6214TG152W00000X, 152WC0802X, 152WS0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112409104Medicaid
TX154767103Medicaid
TX8D4577Medicare ID - Type Unspecified
TX154767103Medicaid
TXU91547Medicare UPIN