Provider Demographics
NPI:1972736973
Name:20/20 EYE Q
Entity Type:Organization
Organization Name:20/20 EYE Q
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:QUYEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-955-9774
Mailing Address - Street 1:12353 FM 1960 RD W
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4993
Mailing Address - Country:US
Mailing Address - Phone:281-955-9774
Mailing Address - Fax:281-955-9774
Practice Address - Street 1:12353 FM 1960 RD W
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4993
Practice Address - Country:US
Practice Address - Phone:281-955-9774
Practice Address - Fax:281-955-9774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6076T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty