Provider Demographics
NPI:1912775016
Name:NEXT LEVEL EYE CARE PLLC
Entity Type:Organization
Organization Name:NEXT LEVEL EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GASTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:917-513-1229
Mailing Address - Street 1:2431 BISSONNET ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1451
Mailing Address - Country:US
Mailing Address - Phone:713-522-2007
Mailing Address - Fax:662-470-6083
Practice Address - Street 1:2431 BISSONNET ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1451
Practice Address - Country:US
Practice Address - Phone:713-522-2007
Practice Address - Fax:662-470-6083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty