Provider Demographics
NPI:1831798016
Name:BIRDS EYE VIEW OPTOMETRY - LEAGUE CITY PLLC
Entity type:Organization
Organization Name:BIRDS EYE VIEW OPTOMETRY - LEAGUE CITY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-944-4182
Mailing Address - Street 1:6734 WESTHEIMER LAKES NORTH DR STE 111
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5713
Mailing Address - Country:US
Mailing Address - Phone:281-347-0004
Mailing Address - Fax:
Practice Address - Street 1:1355 E LEAGUE CITY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-7095
Practice Address - Country:US
Practice Address - Phone:713-944-4182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty