Provider Demographics
NPI:1962860668
Name:RJ CASSIDY OPTICIANS, INC.
Entity Type:Organization
Organization Name:RJ CASSIDY OPTICIANS, INC.
Other - Org Name:CASSIDY OPTICAL, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLEEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:713-523-8682
Mailing Address - Street 1:2900 WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1112
Mailing Address - Country:US
Mailing Address - Phone:713-523-8682
Mailing Address - Fax:713-528-1207
Practice Address - Street 1:2900 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1112
Practice Address - Country:US
Practice Address - Phone:713-523-8682
Practice Address - Fax:713-528-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier