Provider Demographics
NPI:1881191435
Name:MOMIN VISION CARE PA
Entity type:Organization
Organization Name:MOMIN VISION CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:IMRANA
Authorized Official - Middle Name:ISMAIL
Authorized Official - Last Name:MOMIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-945-5400
Mailing Address - Street 1:6144 SIENNA RANCH RD STE 600
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7404
Mailing Address - Country:US
Mailing Address - Phone:832-945-5400
Mailing Address - Fax:844-274-0503
Practice Address - Street 1:6144 SIENNA RANCH RD STE 600
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-7404
Practice Address - Country:US
Practice Address - Phone:832-945-5400
Practice Address - Fax:844-274-0503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-10
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty