Provider Demographics
NPI:1740504968
Name:COOMBS, KERRI-ANN (OD)
Entity type:Individual
Prefix:DR
First Name:KERRI-ANN
Middle Name:
Last Name:COOMBS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:27390 PENDLETON TRACE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4267
Mailing Address - Country:US
Mailing Address - Phone:281-630-7994
Mailing Address - Fax:
Practice Address - Street 1:12230 W LAKE HOUSTON PKWY STE 155
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-6450
Practice Address - Country:US
Practice Address - Phone:346-570-5366
Practice Address - Fax:866-643-3267
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7449TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist