Provider Demographics
NPI:1801907860
Name:FUTUREYES, INC
Entity type:Organization
Organization Name:FUTUREYES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER OPTOMOTERIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-693-1616
Mailing Address - Street 1:1540 S MASON RD STE C
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-4574
Mailing Address - Country:US
Mailing Address - Phone:281-693-1616
Mailing Address - Fax:281-693-1619
Practice Address - Street 1:1540 S MASON RD STE C
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-4574
Practice Address - Country:US
Practice Address - Phone:281-693-1616
Practice Address - Fax:281-693-1619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04763TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1123895-01Medicaid
TXU49857Medicare UPIN
TXE49TMedicare ID - Type UnspecifiedMEDICARE #