Provider Demographics
NPI:1801084959
Name:URBAN EYE ASSOCIATES PC
Entity type:Organization
Organization Name:URBAN EYE ASSOCIATES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:LASHEA
Authorized Official - Last Name:ADAMS-DEROUEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-692-0667
Mailing Address - Street 1:5544 AIRLINE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-4904
Mailing Address - Country:US
Mailing Address - Phone:713-692-0667
Mailing Address - Fax:713-692-0602
Practice Address - Street 1:5544 AIRLINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-4904
Practice Address - Country:US
Practice Address - Phone:713-692-0667
Practice Address - Fax:713-692-0602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty