Provider Demographics
NPI:1982226718
Name:EYEDIOLOGY EYE CARE, PLLC
Entity Type:Organization
Organization Name:EYEDIOLOGY EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUBA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-743-0500
Mailing Address - Street 1:27252 KATY FWY STE 300
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1003
Mailing Address - Country:US
Mailing Address - Phone:832-743-0500
Mailing Address - Fax:832-743-0501
Practice Address - Street 1:27252 KATY FWY STE 300
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1003
Practice Address - Country:US
Practice Address - Phone:832-743-0500
Practice Address - Fax:832-743-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty