Provider Demographics
NPI:1952482291
Name:TYLER, CHRISTINE ANN (OD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:TYLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 WESTHEIMER RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1598
Mailing Address - Country:US
Mailing Address - Phone:713-520-6600
Mailing Address - Fax:713-520-6656
Practice Address - Street 1:2055 WESTHEIMER RD
Practice Address - Street 2:SUITE 135
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1598
Practice Address - Country:US
Practice Address - Phone:713-520-6600
Practice Address - Fax:713-520-6656
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6421TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B8582Medicare ID - Type Unspecified
TXU199861Medicare UPIN
TX1619250388Medicare UPIN