Provider Demographics
NPI:1952173759
Name:ANDRE EYE AND OPTICAL PLLC
Entity type:Organization
Organization Name:ANDRE EYE AND OPTICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-957-4234
Mailing Address - Street 1:115 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:SCHULENBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78956-1601
Mailing Address - Country:US
Mailing Address - Phone:979-505-4023
Mailing Address - Fax:979-725-2132
Practice Address - Street 1:115 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:SCHULENBURG
Practice Address - State:TX
Practice Address - Zip Code:78956-1601
Practice Address - Country:US
Practice Address - Phone:979-505-4023
Practice Address - Fax:979-725-2132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty