Organization Name: | HOUSTON OPTIC PLLC |
NPI Number: | 1063632842 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD CANADY (EXECUTIVE ADMINISTRATOR) |
Mailing Address: | 333 N Rivershire Dr Ste 160 Conroe |
State: | TX US |
Postal Code: | 773040001 |
Phone Number: | 9364412020 |
Fax Number: | 9367560656 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 12/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |