Provider Demographics
NPI:1396725990
Name:NORCINI, DONALD J (O D)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:J
Last Name:NORCINI
Suffix:
Gender:M
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13147 NORTHWEST FWY
Mailing Address - Street 2:STE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6397
Mailing Address - Country:US
Mailing Address - Phone:713-460-5005
Mailing Address - Fax:713-460-0614
Practice Address - Street 1:13147 NORTHWEST FWY
Practice Address - Street 2:#100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6397
Practice Address - Country:US
Practice Address - Phone:713-460-5005
Practice Address - Fax:713-460-0614
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2862TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXOOE10EMedicare ID - Type Unspecified
TXT15057Medicare UPIN